Julie Bracciano, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

PA9104078 Issued in FL

Practice address

8430 Cooper Creek Blvd Ste 102
University Park, FL 34201-2016

Phone

(941) 360-2255

Fax

(941) 487-1777

NPI assigned

Aug 20, 2018

Sex

Female

Sole proprietor

No

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

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Bracciano Dermatology PLC

  • MOHS-Micrographic Surgery Physician
  • University Park, FL
  • NPI 1053362764
  NPD (past)
• Premier Dermatology, LLC

  • Dermatology Physician
  • Sarasota, FL
  • NPI 1700202298
  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1245710185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 COOPER CREEK BLVD STE 102",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342012016",
            "telephone_number": "941-360-2255",
            "fax_number": "941-487-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 COOPER CREEK BLVD STE 102",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342012016",
            "telephone_number": "941-360-2255",
            "fax_number": "941-487-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACCIANO",
        "first_name": "JULIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "PA9104078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BK Optical of Sarasota Inc
• Sarah Bocchi
• Anthonina Bowden, RBT
• Bracciano Dermatology PLC
• David Michael Bracciano Sr., D.O.
• Tyesha Brown
• Bruce J Levine, DPM PA
• Brajha Burnett
• Katelyn Butler
• Steven Joseph Caldroney, DDS, MD

• Dermatology Physician in University Park, FL
• Providers in University Park, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.