Active NPI
Kathy Gail Brawley
- Magnetic Resonance Imaging Radiologic Technologist
- Mack, CO
National Provider Identifier
1396929113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- License
- 186264
- Practice address
- 1016 M8 Rd
Mack, CO 81525 - Phone
- (970) 858-0867
- NPI assigned
- Dec 28, 2007
- Last updated
- Jan 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | 186264 | CO | Primary |
Addresses
Primary practice location
1016 M8 Rd
Mack, CO 81525
Mailing address
1016 M8 Rd
PO Box 121
Mack, CO 81525
Phone (970) 858-0867
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186264 | Other | ARRT |
Other names 1
- Kathy Gail Brawley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186264 | CO | MD | Magnetic Resonance Imaging Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1396929113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 M8 RD",
"address_2": "PO BOX 121",
"city": "MACK",
"state": "CO",
"postal_code": "81525",
"telephone_number": "970-858-0867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 M8 RD",
"city": "MACK",
"state": "CO",
"postal_code": "81525",
"telephone_number": "970-858-0867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAWLEY",
"first_name": "KATHY",
"middle_name": "GAIL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-28",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "2471M1202X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": "CO",
"license": "186264",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARRT",
"identifier": "186264",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "BRAWLEY",
"middle_name": "GAIL",
"credential": "RT,CT,MR",
"code": "2",
"type": "Professional Name"
}
]
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.