Guillermo Eduardo Brachetta, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

F5845 Issued in TX

Practice address

2300 Michigan Ave
Suite #1
Midland, TX 79701

Phone

(432) 687-0181

Fax

(432) 687-1003

NPI assigned

Feb 15, 2007

Last updated

Jul 8, 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

Doctor of Medicine

State licenses

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.

• Guillermo E Brachetta MD PA

  • Surgery Physician
  • Midland, TX
  • NPI 1497047708
  Authorized official Same address or phone

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336282664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MICHIGAN AVE",
            "address_2": "SUITE #1",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79701",
            "telephone_number": "432-687-0181",
            "fax_number": "432-687-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MICHIGAN AVE",
            "address_2": "SUITE #1",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79701",
            "telephone_number": "432-687-0181",
            "fax_number": "432-687-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACHETTA",
        "first_name": "GUILLERMO",
        "middle_name": "EDUARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "F5845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Boulos
• Misty Bowden, MSW, BSW, CBS
• Janet Bowman
• Megan Boxberger, PTA
• Linda K Boyd, MA LPC
• Brackenrich Burch PLLC (Seasons Dermatology and Aesthetics)
• Jared Brackenrich, D.O.
• Erika Braden, PHARMD
• Jacob Bradford
• Brian P Brady, PT

• Surgery Physician in Midland, TX
• Providers in Midland, TX by specialty
• Surgery Physician 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.