Richard Bracken, AA-C

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

002558 Issued in GA

Practice address

2000 Palmyra Rd
Albany, GA 31701-1528

Phone

(229) 434-2161

Fax

(229) 434-2502

NPI assigned

Nov 2, 2005

Last updated

Aug 29, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

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.

• Palmyra Park Hospital, Inc.

  dba Palmyra Medical Centers

  • General Acute Care Hospital
  • Albany, GA
  • NPI 1982658944
  NPD (past)
• Palmyra Professional Fees LLC

  • Certified Registered Nurse Anesthetist
  • Albany, GA
  • NPI 1437140084
  NPD (past)
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1316938939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011528",
            "telephone_number": "229-434-2161",
            "fax_number": "229-434-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011528",
            "telephone_number": "229-434-2161",
            "fax_number": "229-434-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEN",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "AA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "002558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Boyd
• Thea Rebecca Boyd, P.T.
• Susan Darlene Boyett, FNP-C
• Milica Bozovic, M.D.
• Ariyana Bozzorg, MD
• Jennifer H Bradley, FNP-C
• Nicola Simone Bradley, LMFT
• Kari Lowery Bradshaw, NP
• James Jordan Bradwell, DO
• Branch Medical Clinic Albany

• Anesthesiologist Assistant in Albany, GA
• Providers in Albany, GA by specialty
• Anesthesiologist Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.