Fred B Brackett, M.D.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

E7836 Issued in TX

Practice address

4234 Weber Rd
Corpus Christi, TX 78411-3603

Phone

(361) 883-3831

Fax

(361) 887-0146

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1053383372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 WEBER RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784113603",
            "telephone_number": "361-883-3831",
            "fax_number": "361-887-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 WEBER RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784113603",
            "telephone_number": "361-883-3831",
            "fax_number": "361-887-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKETT",
        "first_name": "FRED",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "E7836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114250703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaylen Avery Bowman, LPC
• Nicholas Michael Bown, MD
• Clayton Tyler Boyd, O.D.
• Ashley Kasperski Boyer
• Gerard W Boynton, MD
• Katherine Brackin
• Brad M. Everitt DDS, Inc.
• Braden Partners LP
• Chad Bradford, M.D.
• Frani Bradley, LPC

• Colon & Rectal Surgery Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Colon & Rectal Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.