Individual provider Active NPI

Holger Ernst Bracht, D.O.

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1063481976
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6690 Issued in CA
Practice address
1818 Verdugo Blvd Ste 401
Glendale, CA 91208-1421
Phone
(818) 790-1145
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6690 CA Primary

Addresses

Primary practice location

1818 Verdugo Blvd Ste 401
Glendale, CA 91208-1421

Mailing address

1818 Verdugo Blvd Ste 401
Glendale, CA 91208-1421
Phone (818) 790-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120402000499 CA Practitioner - Family Practice 6800056672 Practice locations: Glendale, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1818 Verdugo Blvd
Suite 401
Glendale, CA 91208-1421
Phone (818) 790-1145

Hospital & facility affiliations

  • Verdugo Hills Home Care, Inc Home health agency, La Crescenta, CA, CCN 557407
  • Faith & Hope Hospice Care, Inc Hospice, Pasadena, CA, CCN 551573
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A6690CAMDFamily Medicine Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hbracht@vhmg-ca.direct.office.nextgen.com

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1063481976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 VERDUGO BLVD STE 401",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081421",
            "telephone_number": "818-790-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 VERDUGO BLVD STE 401",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081421",
            "telephone_number": "818-790-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACHT",
        "first_name": "HOLGER",
        "middle_name": "ERNST",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.