John Brackle

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

3321 Issued in NE

Practice address

3210 N Clarkson St
Fremont, NE 68025-2301

Phone

(402) 753-4853

NPI assigned

Nov 17, 2016

Last updated

Nov 17, 2016By 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)

Enrolled

State licenses

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1366985699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 WATSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252301",
            "telephone_number": "402-753-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKLE",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NE",
            "license": "3321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lileigh Bolen
• Mercedes Monique Booze
• Isabel Bothwell
• Harold Boudreau Jr.
• Emma Michille Boysen
• Troy Gilbert Brainard, D.C.
• Dean David Brame
• Heather Braniff
• Brenda K. Breeding, PHARMD
• Evelyn Brester, CMA (AAMA), MA

• Orthopedic Physical Therapist in Fremont, NE
• Providers in Fremont, NE by specialty
• Orthopedic Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.