Jimmie Wayne Bratton, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8256 Issued in TX

Practice address

910 Oak LN
Childress, TX 79201-2210

Phone

(940) 937-2248

Fax

(940) 937-8260

NPI assigned

Mar 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eric Green, DDS

  • General Practice Dentistry
  • Childress, TX
  • NPI 1154580397
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194853382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 OAK LN",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792012210",
            "telephone_number": "940-937-2248",
            "fax_number": "940-937-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OAK LN",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792012210",
            "telephone_number": "940-937-2248",
            "fax_number": "940-937-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATTON",
        "first_name": "JIMMIE",
        "middle_name": "WAYNE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "8256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmonette Jo Bivens, RPH
• Jessica Boedeker, FNP-C
• Aimee Bowman, PT
• Carley Brandon, FNP-C
• David Bratton, LCSW
• Lauren Ashley Bratton, NP-C
• Karolyn M Brown, LPC-A
• Imelda Mely Burch, LPC
• Richard David Caldwell, M.D.
• Carly Sue Cano, FNPC

• General Practice Dentistry in Childress, TX
• Providers in Childress, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.