Thomas Paul Bracken, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0006282 Issued in FL

Practice address

955 Candlelight Blvd
Brooksville, FL 34601

Phone

(352) 799-1977

Fax

(352) 799-2252

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1891755617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 CANDLELIGHT BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34601",
            "telephone_number": "352-799-1977",
            "fax_number": "352-799-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 CANDLELIGHT BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34601",
            "telephone_number": "352-799-1977",
            "fax_number": "352-799-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEN",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381630300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrell B Bounds, MD
• Mahmoud Bourghli, MD
• Mark D Bowden, D.O.
• Avetis Boyadzhyan, MD
• Bracken Chiropractic Health Center Inc.
• Arlene Marie Bradford, ARNP
• Ernest A Brady Jr.
• Brain and Spine Neuroscience Institute, LLC
• Sandeep Brar, MD
• Vivian Judith Brasch, MD

• Chiropractor in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.