Active NPI
Andrea C. Bracikowski, M.D.
- Pediatric Sports Medicine Physician
- Nashville, TN
National Provider Identifier
1841382256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Sports Medicine Physician
- License
- MD24802
- Practice address
- 3601 TVC
Nashville, TN 37232-5100 - Phone
- (615) 322-3000
- NPI assigned
- Sep 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD24802 | TN | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | MD24802 | TN | |
| Pediatric Sports Medicine Physician | 2080S0010X | MD24802 | TN | Primary |
Addresses
Primary practice location
3601 TVC
Nashville, TN 37232-5100
Mailing address
Mce South Tower Ste 4200
Nashville, TN 37232-8774
Phone (615) 322-3000
Other practice location 1
2200 Childrens Way
Nashville, TN 37232-0005
Phone (615) 936-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24802 | TN | MD | Pediatric Sports Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1841382256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MCE SOUTH TOWER STE 4200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372328774",
"telephone_number": "615-322-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 TVC",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372325100",
"telephone_number": "615-322-3000"
}
],
"practiceLocations": [
{
"address_1": "2200 Childrens Way",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372320005",
"country_code": "US",
"telephone_number": "615-936-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRACIKOWSKI",
"first_name": "ANDREA",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-30",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "MD24802",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "TN",
"license": "MD24802",
"primary": false
},
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "TN",
"license": "MD24802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.