Tina Dennell Bracy, NURSE PRACTITIONER

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

R187132 Issued in MD

Practice address

3821 Timber View Way
Reisterstown, MD 21136-1839

Phone

(410) 654-2442

NPI assigned

Jun 8, 2022

Last updated

Jun 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tina.bracy@4230.securemail.prognocis.com

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.

• Superb Pain Management Center

  • Gerontology Nurse Practitioner
  • Towson, MD
  • NPI 1891575411
  Medicare reassignment NPD
• The Nerve, LLC

  • Nursing Care Agency
  • Reisterstown, MD
  • NPI 1538867668
  NPD Authorized official
• The Carle Center for Pain Management,LLC

  • Specialist
  • Towson, MD
  • NPI 1851582563
  NPD

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1790414266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 TIMBER VIEW WAY",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361839",
            "telephone_number": "443-900-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 TIMBER VIEW WAY",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361839",
            "telephone_number": "410-654-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACY",
        "first_name": "TINA",
        "middle_name": "DENNELL",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R187132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Borcik, MS, RD, LD, CDE
• Dawn Rae Bottorff, LCSW-C
• Lisa Ann Bowerman, PHARMD, RPH
• Carleah Bowling, LMT, CPHT
• Kathleen Rebecca Bowling, LMT, CMLDT
• Melissa Brendel
• Tracy Brenton, LCPC
• Beth Lea Brewster, D.D.S.
• Bridginglife, Inc
• Amanda Britton, M.S., CCC-SLP

• Acute Care Nurse Practitioner in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Acute Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.