Ann C Bracken, MD, PHD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9058 Issued in NH

Practice address

7 Rope Ferry Rd
Dartmouth College Health Service
Hanover, NH 03755-1404

Phone

(603) 650-1400

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Dartmouth-Hitchcock Clinic

  • Internal Medicine Physician
  • Lebanon, NH
  • NPI 1548210198

  Pediatrics

  NPD (past)
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1023092053
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851483986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 OCCOM RDG",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ROPE FERRY RD",
            "address_2": "DARTMOUTH COLLEGE HEALTH SERVICE",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551404",
            "telephone_number": "603-650-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEN",
        "first_name": "ANN",
        "middle_name": "C",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "9058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Berry, OD
• Ivy L Billard
• Blackburn Consulting, LLC
• Lisa G. Blackburn, P.T.
• William S. Bloom, MD
• Charlene F Bradley, RN
• Katherine M Bramhall, LMVT, NHCM
• Phillip Brauch, PA
• Bright Day Nutrition, LLC
• Lenore Brown, R.N.

• Pediatrics Physician in Hanover, NH
• Providers in Hanover, NH by specialty
• Pediatrics Physician in New Hampshire

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