Fred Brackett, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1-031202 Issued in AL

Practice address

2451 Fillingim St
Mobile, AL 36617-2238

Phone

(251) 471-7177

NPI assigned

Apr 19, 2006

Last updated

Jul 8, 2007By 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

Enrolled in AL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesiacare PCGroup PAC ID 2961727169, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Anesthesiacare, P.C.

  • Anesthesiology Physician
  • Mobile, AL
  • NPI 1881099174
  Medicare reassignment Care Compare group NPD
• McLemore Emergency Physicians

  • Emergency Medicine Physician
  • Meridian, MS
  • NPI 1427007483
  NPD (past)
• Meridian Hma LLC

  dba Riley Physician Services

  • Cardiovascular Disease Physician
  • Meridian, MS
  • NPI 1578620746
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437114741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8255 BRACKETT LN",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365754550",
            "telephone_number": "251-649-4414",
            "fax_number": "251-649-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-471-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKETT",
        "first_name": "FRED",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-031202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilene Boykin, NP
• Shunda Trimaine Boykin
• Brooke Boyles, CCC SLP
• Mary Brabner
• India Samaria Bracey
• Jacqueline D. Brackett, CRNA
• Trudy J. Brackin, RN
• Tara Lynette Bracy, RN, APRN
• Anglia Dakota Bradford, BCABA
• Marlee Jayne Bradford

• Certified Registered Nurse Anesthetist in Mobile, AL
• Providers in Mobile, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.