Phillip Brackin, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD014032E Issued in PA

Practice address

501 Bath Rd
Bristol, PA 19007-3101

Phone

(215) 785-9070

Fax

(215) 785-9021

NPI assigned

Jun 16, 2005

Last updated

Dec 13, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, MD, NJ, ME, OH, TX6 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 6

Specialty

Diagnostic Radiology

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kan-Di-Ki LLCGroup PAC ID 5991737140, shared by 13 NPIs, 38 clinicians

Reono Bertagnolli a Medical GroupGroup PAC ID 6800709783, 47 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

66.41 of 100Reported as group

Quality

30.12

Promoting interoperability

80

Improvement activities

40

Cost

57.93

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbrackin@direct.carene.org

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.

• Reono Bertagnolli a Medical Group

  dba Rely Radiology Group of California

  • Diagnostic Radiology Physician
  • San Leandro, CA
  • NPI 1134424005

  ME, NJ, OH, PA, TX

  Medicare reassignment Care Compare group
• Bucktail Medical Center

  • Critical Access Hospital
  • Renovo, PA
  • NPI 1821083700
  Medicare reassignment NPD
• Bucktail Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Renovo, PA
  • NPI 1982681102
  Medicare reassignment NPD
• Radiology Affiliates of Central New Jersey PC

  • Diagnostic Radiology Physician
  • Hamilton, NJ
  • NPI 1811994791

  PA

  Medicare reassignment NPD
• Sheppard Pratt Physicians, P.a.

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1518990712
  Medicare reassignment NPD
• American Diagnostics Services LLC

  dba TridentCare

  • Physiological Laboratory
  • Windsor Mill, MD
  • NPI 1639140387

  TX

  Medicare reassignment
• Community Mobile Diagnostics LLC

  dba Tridentcare

  • Diagnostic Radiology Physician
  • San Leandro, CA
  • NPI 1023104007

  TX

  Medicare reassignment
• Community Mobile Ultrasound, LLC

  dba TridentCare

  • Diagnostic Ultrasound Physician
  • Oceanside, CA
  • NPI 1760620959

  MD, TX

  Medicare reassignment
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • North Hollywood, CA
  • NPI 1750364345

  NJ, TX

  Medicare reassignment
• Kan-Di-Ki, LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • North Hollywood, CA
  • NPI 1548422488

  PA

  Medicare reassignment
• Symphony Diagnostic Services No 1 LLC

  dba MobilexUSA

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Hunt Valley, MD
  • NPI 1700865094

  NJ, PA, TX

  Medicare reassignment
• Lower Bucks Radiology Associates PC

  dba Bucks County Open Scan MRI

  • Diagnostic Radiology Physician
  • Bristol, PA
  • NPI 1023012697
  Authorized official Same address or phone

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1386649267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073101",
            "telephone_number": "215-785-9070",
            "fax_number": "215-785-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073101",
            "telephone_number": "215-785-9070",
            "fax_number": "215-785-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKIN",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD014032E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009016420001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Black, NP
• Lauren Ashley Blair, OTR/L
• BMC Specialty Physicians LLC
• Holden Andrew Boele
• Sushan Bogati, MD
• Kathleen Gladys Brendlinger, D.C.
• Bridgepoint Pharmacy Inc (Bristol Wellness Pharmacy)
• Bristol Adult Day Center LLC
• Bristol Borough School District
• Bristol Cardiology PC

• Diagnostic Radiology Physician in Bristol, PA
• Providers in Bristol, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.