Individual provider · Type 1 NPI
Jerry W. Brackett, MD
General Practice Physician · Berea, KY
NPI number
1033165394
Active
Practice location
607 Chestnut St
Berea, KY 40403-1514
Fax (606) 789-5600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 14390 (KY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1033165394
Jerry W. Brackett, MD's National Provider Identifier is 1033165394, issued on May 26, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Berea, KY. The record was last updated on Jun 15, 2009.