TOMMY JASON BRACKINS (NPI# 1447230933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447230933 |
| Entity Type | Individual |
| Full Name | TOMMY JASON BRACKINS |
| Credential | PA-C |
| Practice Address |
Comdt (cg-1122) U.S. Coast Guard 2100 2nd St Sw Suite 5314 Washington DC 20593-0001 |
| Practice Telephone | 3059532261 |
| Practice Fax Number | 3059532251 |
| Mailing Telephone | 8655998870 |
| Mailing Fax Number | 8655998870 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2016-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
COMDT (CG-1122) U.S. COAST GUARD 2100 2ND ST SW SUITE 5314 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20593-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689651556 | Ryan M Mcardle | Technician, Other | Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St Sw Suite 5314, Washington, DC 20593-0001 | 2005-12-30 |
| 1942382106 | Somnang Chea | Technician, Other | Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St Sw Suite 5314, Washington, MA 20593 | 2006-10-19 |
| 1144302241 | Justine T Tunupopo | Technician, Other | Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St Sw Suite 5314, Washington, DC 20593 | 2006-10-19 |
| 1750353173 | Jose A. Sanchez | Family Medicine | Comdt (cg-1122) U.S. Coast Guard, 2100 2nd Stree Sw, Suite 5314, Washington, DC 20593-0001 | 2006-02-02 |
| 1477523124 | Denise J. Sullivan | Technician, Other | Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St Sw Suite 5314, Washington, DC 20593-0001 | 2006-01-25 |
| 1033198999 | Amanda Malenfant | Technician, Other | Comdt (cg-1122) U.S. Coast Guard, 2100 2ns St. Sw, Suite 5314, Washington, DC 20593-0001 | 2006-01-10 |
| 1245218320 | Carl Jeffries Gustke | Dentist | Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St. Sw, Suite 5314, Washington, DC 20593 | 2006-01-09 |
| 1558349084 | Richard M Walker | Technician, Other | Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St Sw Suite 5314, Washington, DC 20593-0001 | 2006-01-05 |
| 1689652182 | Mark Comnick | Family Medicine | Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St Sw, Ste 5314, Washington, DC 20593-0001 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982869939 | Devon Avery | Student in an Organized Health Care Education/Training Program | 21002ndst Sw Swite 5314, Washington, DC 20593 | 2008-07-18 |
| 1922261056 | Robert Harold Spicer | Technician, Other | 2100 2nd St, Comdt (cg-1122) U.S. Coasst Guard Suite 5314, Washington, DC 20593 | 2008-07-09 |
| 1235391772 | Abby Joanna Shannon | Dentist | Uscg Base Ncr 2703 Martin Luther King Jr Ave Se, Washington, DC 20593 | 2008-06-26 |
| 1760642797 | Sweet-charity May Keplinger | Physician Assistant | 2100 2nd St Sw Suite 5, Comdt ( Cg-1122) Us Coast Guard, Washington, DC 20593 | 2008-06-12 |
| 1730346719 | Stephen M-l Tate | Student in an Organized Health Care Education/Training Program | 2100 2nd St Sw Suit, Comdt (cg-1122) Us Coast Guard, Washington, DC 20593 | 2008-05-19 |
| 1659409167 | Marc J Capra | Technician, Other | Uscg Comdt (cg-1122), 2100 2nd St Sw Suite 5314, Washington, DC 20593 | 2007-02-28 |
| 1336220730 | Christohper John Lisk | Technician, Other | 2100 2nd St Sw Suite 5314, Comdt (cg-1122) U.S. Coast Guard, Washington, DC 20593 | 2006-10-18 |
| 1013097674 | James C. Morgan | Military Health Care Provider | Comdt (cg-1122), U.S. Coast Guard 2100 2nd St Sw, Suite 5314, Washington, DC 20593 | 2006-10-17 |
| 1811077613 | Thomas Keith Heimann | Technician, Other | 2100 2nd St Sw, Suite 5314, Comdt (cg-1122), U. S. Coast Guard, Washington, DC 20593 | 2006-10-16 |
| 1447330246 | Unitied States Coast Guard | Technician, Other | 2100 2nd St Sw Comdt (cg-1122), Suite 5314 Us Coast Guard, Washington, DC 20593 | 2006-10-16 |
| Find all providers in zip 20593 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1609487370 | Rachel Alexis Solomon | Physician Assistant | 1920 L St Nw Ste 350, Washington, DC 20036-5004 | 2020-08-14 |
| 1740805175 | Alexandra Fraser | Physician Assistant | 1125 11th St Nw Apt 204, Washington, DC 20001-6420 | 2020-06-11 |
| 1699399162 | Enrique Manriquez | Physician Assistant | 2413 39th Pl Nw, Washington, DC 20007-1702 | 2020-06-01 |
| 1710510565 | Peter Bourland | Physician Assistant | 130 M St Ne Apt 1113, Washington, DC 20002-7925 | 2020-02-20 |
| 1619517950 | Jaclyn Finley | Physician Assistant | 57103 Curtis St, Washington, MI 48094-3844 | 2020-01-15 |
| 1033770755 | Lauren Taylor Parrish | Physician Assistant | 3800 Reservoir Rd Nw # 2phc, Washington, DC 20007-2113 | 2019-06-24 |
| 1821654617 | Connor James Butz | Physician Assistant | 2311 M St Nw Ste 401, Washington, DC 20037-1495 | 2019-05-16 |
| 1164087482 | Lisa Chuong | Physician Assistant | 110 Irving St Nw # 3b19, Washington, DC 20010-3017 | 2019-05-02 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20593 |
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| 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.