Drew V Brancaccio
Individual provider Active NPI Community Health Worker · Topeka, KS
NPI 1508134404 · NPPES record last updated Dec 6, 2011
Key facts
- NPI
- 1508134404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 325 SW Frazier Ave
Topeka, KS 66606-1963 - Phone
- (785) 232-5005
- Fax
- (785) 232-0160
- NPI assigned
- Dec 6, 2011
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
325 SW Frazier Ave
Topeka, KS 66606-1963
Mailing address
2108 SW Potomac Dr
Apt 3
Topeka, KS 66611-1444
Phone (785) 249-4711
Other providers in Topeka, KS
- Michael E Brady
- Michelle Marie Brady
- Pamela Brady
- Rachel Eve Brady
- Carol A Bragdon
- Ashleigh Brandenburgh
- Mark W Brandsted
- Mahala Branson
- Kristin Deanne Brassart
- Jeremy R Braton
All providers in Topeka, KS · Community Health Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2011. 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.