Active NPI
Julianne Brackin, DO
- Family Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34-007476
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000250558 | Other | OH | ANTHEM |
| 2358587 | Medicaid | OH |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34-007476 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Primary Care Physicians Inc | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Central Ohio Primary Care Physicians, Inc. | Current | Accepting new patients | |
| Central Ohio Primary Care Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Ohiohealth Corporation | Family Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1194705194
Family Medicine
-
dba OhioHealth Physician Group, Inc
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Hospitalist Physician
- Westerville, OH
- NPI 1518398866
-
- Clinical Medical Laboratory
- Westerville, OH
- NPI 1639279045
-
dba OhioHealth Physician Group Inc
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Grant Medical Center
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
-
dba Riverside Methodist Hospital
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
dba OhioHealth Laboratory Systems
- Clinical Medical Laboratory
- Columbus, OH
- NPI 1710916945
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.