Vern E Bracken Jr.

Individual provider Active NPI Child Intellectual and/or Developmental Disabilities Respite Care · Bennington, NE

NPI 1750196945 · NPPES record last updated Feb 12, 2025

Key facts

NPI
1750196945
Entity type
Individual (NPI type 1)
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
License
16228613 (NE)
Practice address
8106 N 170TH St
Bennington, NE 68007-3351
Phone
(402) 968-5464
NPI assigned
Feb 12, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
16228613NEMDChild Intellectual and/or Developmental Disabilities Respite Care

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 16228613 NE Yes

Addresses

Primary practice location

8106 N 170TH St
Bennington, NE 68007-3351

Mailing address

8106 N 170TH St
Bennington, NE 68007-3351
Phone (402) 968-5464

Other names

  • Mr. Don E Bracken Other name

Other providers in Bennington, NE

All providers in Bennington, NE · Child Intellectual and/or Developmental Disabilities Respite Care in Nebraska

Sources for this page

Verify at the official NPI Registry.