Christopher Douglas Bratton
Individual provider Active NPI Other Technician · Jacksonville, AR
NPI 1447596648 · NPPES record last updated Dec 17, 2012
Key facts
- NPI
- 1447596648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 2227 W Main St
Jacksonville, AR 72076-4207 - Phone
- (501) 985-9944
- Fax
- (501) 985-6590
- NPI assigned
- Dec 17, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
2227 W Main St
Jacksonville, AR 72076-4207
Mailing address
2 Hays CT
North Little Rock, AR 72118-4438
Phone (501) 590-0635
Other providers in Jacksonville, AR
- Susan Jean Bolls
- Sunita Sudhakar Bonde
- Ronald Oneal Boston
- Carmon Boykins
- Molly Anne Bradford
- Breakthrough Behavior Services, LLC
- Elizabeth Brewer
- Amber Broadway
- Latosha M Brown
- Rachel Nicole Brown
All providers in Jacksonville, AR · Other Technician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.