ELIZABETH C BRACKETT (NPI# 1528035102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528035102 |
| Entity Type | Individual |
| Full Name | ELIZABETH C BRACKETT |
| Credential | MD |
| Practice Address |
5100 Gamble Dr Suite 100 Mail Stop 31200a Helathpartners West Clinic Saint Louis Park MN 55416-1582 |
| Mailing Address |
8170 33rd Ave S Ms21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 9525412500 |
| Practice Fax Number | 9525412539 |
| Mailing Telephone | 9528835375 |
| Mailing Fax Number | 9525956455 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2012-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23476 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 52978000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447678735 | Elizabeth Brackett | Pharmacist | 178 Wintersweet Way, Sharpsburg, GA 30277-4689 | 2014-04-03 |
| 1487255741 | Elizabeth Brackett | Pharmacist | 1941 W Morton Ave, Jacksonville, IL 62650-2620 | 2020-11-03 |
| 1801241633 | Elizabeth Erin Brackett | Obstetrics & Gynecology | 234 Goodman St, Center for Women's Health, Cincinnati, OH 45219-2364 | 2016-04-29 |
| Street Address |
5100 GAMBLE DR SUITE 100 MAIL STOP 31200A HELATHPARTNERS WEST CLINIC |
| City | SAINT LOUIS PARK |
| State | MN |
| Zip Code | 55416-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952377921 | Karen M Kramer | Social Worker | 5100 Gamble Dr Suite 100, Mail Stop 31200a, Saint Louis Park, MN 55416-1582 | 2006-02-28 |
| 1497722904 | Jeffrey Stephen Larson | Optometrist | 5100 Gamble Dr Suite 100, Mail Stop 31200a, Saint Louis Park, MN 55416-1582 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811951098 | Claes Erik Michael Oldenburg | Family Medicine | 4601 Excelsior Blvd Ste 407, Saint Louis Park, MN 55416-4977 | 2006-04-14 |
| 1326532607 | Catherine Kress | Family Medicine | 6600 Excelsior Blvd, Saint Louis Park, MN 55426-4744 | 2018-06-19 |
| 1295902740 | Carola Andrea Jerney | Family Medicine | 5100 Gamble Dr Ste 100, Saint Louis Park, MN 55416-1588 | 2008-05-14 |
| 1538334081 | Julie M Farias | Family Medicine | 6600 Excelsior Blvd, Suite 160, Saint Louis Park, MN 55426-4744 | 2008-04-25 |
| 1821278953 | Jessica Sanchez-alfaro | Family Medicine | 3931 Louisiana Ave S, Saint Louis Park, MN 55426-5000 | 2007-11-06 |
| 1982802773 | Twin Cities Medical Clinic PC | Family Medicine | 4601 Excelsior Blvd Ste 407, Saint Louis Park, MN 55416-4977 | 2007-07-03 |
| 1548247190 | Sean E Anderson | Family Medicine | 3850 Park Nicollet Blvd, Saint Louis Park, MN 55416-2527 | 2005-12-26 |
| 1285618967 | Helen M Davis | Family Medicine | 3850 Park Nicollet Blvd, Saint Louis Park, MN 55416-2527 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS PARK |
| Zip Code | 55416 |
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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.