Lisa Elaine Bracey, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

96-00327 Issued in NC

Practice address

212 S Rutherford St
Wadesboro, NC 28170-2652

Phone

(704) 694-3599

Fax

(704) 695-1759

NPI assigned

Apr 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scotland Memorial Hospital Inc

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1477791507

  NC

  Medicare reassignment
• County of Anson

  • Community Health Clinic/Center
  • Wadesboro, NC
  • NPI 1154418754
  NPD (past)
• County of Anson

  • Federal Public Health Clinic/Center
  • Wadesboro, NC
  • NPI 1205062551
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1770547911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S RUTHERFORD ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702652",
            "telephone_number": "704-694-3599",
            "fax_number": "704-695-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S RUTHERFORD ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702652",
            "telephone_number": "704-694-3599",
            "fax_number": "704-695-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACEY",
        "first_name": "LISA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "96-00327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891003T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Conrad Blasko, MD
• John Fredrick Blue, Jr, MD
• Lakeisha Tameika Boggan, LPC
• Rizalina Bondoc, PT
• Boyd Intensive in Home Services
• Brighter Horizons Group Homes
• Martha Ann Brooks
• Brown'S Goldencare
• April Moses Bull, MA, LPC-A
• Burch Chiropractic Center

• All providers in Wadesboro, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.