Justice M Brackney

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL7613 Issued in FL

Practice address

640 Dr Mary McLeod Bethune Blvd
Daytona Beach, FL 32114-3012

Phone

(386) 481-2215

Fax

(386) 481-2238

NPI assigned

Aug 11, 2026

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1649195645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S NOVA RD APT 176",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321147328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 DR MARY MCLEOD BETHUNE BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143012",
            "telephone_number": "386-481-2215",
            "fax_number": "386-481-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKNEY",
        "first_name": "JUSTICE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL7613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard H Boye, MD
• Staci Boykin-Page
• Anna M. Boyle, M.ED. BSL
• Alireza Bozorgmanesh, M.D.
• Meaghan Edith Brach
• Nyyah Terrie Bradford-Malone
• Erin Michelle-Atkins Bradford, DPT
• Kelcie Bradham, PT, DPT
• Janet M Bradstreet, ARNP
• Karen E Bradt

• Athletic Trainer in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.