Terry Brackman DO Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E0055 Issued in AR

Legal business name

TERRY BRACKMAN DO INC.

Doing business as

Brackman Family Practice

Practice address

3900 Rogers Ave
Fort Smith, AR 72903-3048

Phone

(479) 783-3661

NPI assigned

Nov 2, 2007

Last updated

Nov 2, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jane E. Core

Title

Billing Specialist

Phone

(479) 420-3303

Specialties & licenses 1

Addresses

Other names 1

• Brackman Family Practice Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bernard Michael Tougas Jr., D.C, P.A.-C

  • Physician Assistant
  • Roland, OK
  • NPI 1366434680
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1790964013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033048",
            "telephone_number": "479-783-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033048",
            "telephone_number": "479-783-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY BRACKMAN DO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "CORE",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "479-420-3303",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E0055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brackman Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Makayla Teague
• Teen Therapy Services LLC
• Mark D Teeter, M.D.
• Pedro L Tena, COTA/L
• John D. Terrell, MD
• Alexsia Terry
• Douglas Terry, DMD
• Carolanne Teter
• Jennifer Rebecca Tetirick
• Joseph Kent Tetirick, APN

• Family Medicine Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.