Individual provider Active NPI

Julianne Brackin, DO

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1851360358
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-007476 Issued in OH
Practice address
1120 Polaris Pkwy
Suite 200
Columbus, OH 43240-4042
Phone
(614) 880-9333
Fax
(614) 880-9331
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-007476 OH Primary

Addresses

Primary practice location

1120 Polaris Pkwy
Suite 200
Columbus, OH 43240-4042

Mailing address

PO Box 1834
Powell, OH 43065-1834
Phone (614) 880-9333

Other identifiers 2

IdentifierTypeStateIssuer
000000250558OtherOHANTHEM
2358587MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20040423000776 OH Practitioner - Family Practice 7810983863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1120 Polaris Pkwy
Columbus, OH 43240-4042

460 Polaris Pkwy
Suite 200
Westerville, OH 43082-8213
Phone (614) 865-3125

4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665

4885 Olentangy River Rd
Columbus, OH 43214-1993

625 Africa Rd
Westerville, OH 43082-0002

655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 447-9495

8050 E Main St
Suite 1200
Reynoldsburg, OH 43068-2575
Phone (614) 259-0923

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-007476OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Ohiohealth Corporation CurrentSince Jan 15, 2011 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Mar 3, 2014 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Mar 3, 2014 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Jan 15, 2011 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

Dept L3652
Columbus, OH 43260

1120 Polaris Pkwy
Columbus, OH 43240
Phone (614) 430-9600

1120 Polaris Pkwy
Ste 200
Columbus, OH 43240
Phone (614) 880-9333

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

1120 Polaris Pkwy
Ste 100
Columbus, OH 43240
Phone (614) 459-0974

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: jbrackin19212@copcp.medicity.net

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1851360358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1834",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430651834",
            "telephone_number": "614-880-9333",
            "fax_number": "614-880-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 POLARIS PKWY",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432404042",
            "telephone_number": "614-880-9333",
            "fax_number": "614-880-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKIN",
        "first_name": "JULIANNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-007476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000250558",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2358587",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.