Victor Bracey, LAT, ATC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

RTO000207 Issued in PA

Practice address

1445 E Lincoln Hwy
Coatesville, PA 19320-2449

Phone

(443) 617-8765

NPI assigned

Apr 25, 2016

Last updated

Dec 29, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1568817864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 AUBEL RD",
            "city": "DELTA",
            "state": "PA",
            "postal_code": "173148781",
            "telephone_number": "443-617-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 E LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193202449",
            "telephone_number": "443-617-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACEY",
        "first_name": "VICTOR",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "DE",
            "license": "J3-0000526",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PA",
            "license": "RTO000207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian R. Boucher, MD
• Mark Mina Boules, DMD
• Teresa Boussom, BCBA
• Felicitas E Bowie, CRNP
• Jennifer Boye, PHD
• Brian Bradley, LPN
• Brandywine Emergency Physician Association
• Brandywine Family Foot Care P C
• Brandywine Gastroenterology Associates LTD
• Brandywine Hospital Medical Transport LLC (Medic 93)

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.