MICHAEL RYAN BRACKMAN


Address: 205 Page Rd, Pinehurst, NC 28374-8749
Phone: 9102955511

MICHAEL RYAN BRACKMAN (NPI# 1194045948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194045948
Entity Type Individual
Full Name MICHAEL RYAN BRACKMAN
Credential D.O.
Practice Address 205 Page Rd
Pinehurst
NC 28374-8749
Practice Telephone 9102955511
Practice Fax Number 9104201606
Mailing Telephone 9102955511
Enumeration Date 2010-06-03
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 2016-02078 NC Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 896 NE Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
36000 Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544 2542888234
8 Regional Cir, Pinehurst, NC 283749796 (910) 505-9468

Office Location

Street Address 205 PAGE RD
City PINEHURST
State NC
Zip Code 28374-8749

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497745525 David John Kersbergen Family Medicine 205 Page Rd, Pinehurst, NC 28374-8749 2005-10-28
1770192700 Jennifer Taylor Reid Nurse Practitioner 205 Page Rd, Pinehurst, NC 28374-8798 2020-07-27
1477188019 Laura Jo Love Nurse Practitioner 205 Page Rd, Pinehurst, NC 28374-8749 2020-03-04
1265902852 Chelsea Marie Fairley Physician Assistant 205 Page Rd, Pinehurst, NC 28374 2018-11-27
1417433145 Carolina Nick Physician Assistant 205 Page Rd, Pinehurst, NC 28374-8749 2018-07-16
1295262103 Mcpc-18, LLC Internal Medicine 205 Page Rd, Pinehurst, NC 28374-8749 2017-05-23
1447782776 Gail C. Lowery Nurse Practitioner 205 Page Rd, Pinehurst, NC 28374-8749 2017-03-27
1275072753 Skyler W Rogers Nurse Practitioner 205 Page Rd, Pinehurst, NC 28374 2017-02-17
1902356579 Sara K Erdwins Physician Assistant 205 Page Rd, Pinehurst, NC 28374-8749 2016-10-07
1235688284 Savannah M Fodero Nurse Practitioner 205 Page Rd, Pinehurst, NC 28374-8749 2016-09-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841855160 Ashley Nicole Jimenez Registered Nurse 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 2019-05-02
1063076552 Lesley Anne Pritchard Physician Assistant 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 2019-04-30
1477003697 Whitney Byrd Franco Counselor 325 Page Rd Bldg 3, Pinehurst, NC 28374 2016-10-12
1649678715 Laura Davies Counselor 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 2014-12-05
1942611280 Ann Marie Toebes Richards Family Medicine 150 Ivey Lane, Suite B, Pinehurst, NC 28374 2014-05-08
1912328329 Rebekah Thomas Wood Behavioral Analyst 350 Diamondhead Dr S, Pinehurst, NC 28374 2014-01-02
1558643015 Michael A Rohrer Prosthetist 95 Aviemore Drive, Pinehurst, NC 28374 2011-09-12
1861799199 Quality Care Pharmacy of The Sandhills Pharmacy 65 Parker Lane, Pinehurst, NC 28374 2011-02-23
1750681185 Robin G Cummings Thoracic Surgery (Cardiothoracic Vascular Surgery) 360 Tall Timbers Drive, Pinehurst, NC 28374 2010-11-02
1942523402 Laura Schramm Kuzma Counselor 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 2010-03-11
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750734232 Marshall S. Nickel, Md Pllc Family Medicine 15 Glen Meadow Ct, Pinehurst, NC 28374-8242 2016-07-19
1942611280 Ann Marie Toebes Richards Family Medicine 150 Ivey Lane, Suite B, Pinehurst, NC 28374 2014-05-08
1598896805 Pinetree Clinic, Pllc Family Medicine 289 Olmsted Blvd Ste 7, Pinehurst, NC 28374-9023 2007-03-08
1326090754 Scott Reed Family Medicine 301 S Division St, Pinehurst, ID 83850-9767 2006-05-16
1376591636 Matthew T Manzo Family Medicine 10 Aviemore Drive, Pinehurst, NC 28374 2006-05-05
1295703239 Renan Pierre-louis Family Medicine 26 Riviera Dr, Pinehurst, NC 28374-5024 2006-03-08
1497745525 David John Kersbergen Family Medicine 205 Page Rd, Pinehurst, NC 28374-8749 2005-10-28
1932105889 Gus D Prince Family Medicine 10 Aviemore, Pinehurst, NC 28374 2005-06-24
1902802853 John W Jameson Family Medicine 10 Aviemore Dr, Pinehurst, NC 28374-9700 2005-06-24
1902323561 Fhpg, LLC Family Medicine 150 Ivey Lane, Pinehurst, NC 28374 2017-08-24
Find all providers in PINEHURST

Competitor

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City PINEHURST
Zip Code 28374

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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