Individual provider Active NPI

Rosalynd D Brackens, M.D.

  • Pediatrics Physician
  • Liberty Township, OH
National Provider Identifier
1518300029
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
128352 Issued in OH
Practice address
7335 Yankee Rd
Liberty Township, OH 45044-0006
Phone
(513) 336-6700
NPI assigned
Apr 15, 2013
Last updated
Nov 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 128352 OH Primary

Addresses

Primary practice location

7335 Yankee Rd
Liberty Township, OH 45044-0006

Mailing address

6533 Redmont CT
Liberty Township, OH 45044-8755
Phone (513) 336-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230208000620 OH Practitioner - Pediatric Medicine 5395117998 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
128352OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHMC Community Health Services Network Pediatrics Current Accepting new patients
CHMC Community Health Services Network Pediatrics CurrentSince Oct 29, 2022 Accepting new patients
Children's Hospital Medical Center Pediatrics CurrentSince Jan 29, 2024 Accepting new patients
CHMC Community Health Services Network Pediatrics Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

7502 State Rd
Ste 3350
Cincinnati, OH 45255
Phone (513) 231-3345

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/FmRItZc30RH60LjxwsIxQM4HGo6XcQXK/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1518300029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6533 REDMONT CT",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450448755",
            "telephone_number": "513-336-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 YANKEE RD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450440006",
            "telephone_number": "513-336-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKENS",
        "first_name": "ROSALYND",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "128352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

Verify at the official NPI Registry.