Dr. Brian Timothy Bracken
Orthodontists
1121 Broad St
Sumter
, South Carolina 29150-1902
Dr. Brian Timothy Bracken
Orthodontists
1121 Broad St
Sumter
, South Carolina 29150-1902
(201) 919-1950
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Brian Timothy Bracken
- 31 Frogmore Rd
- Mt Pleasant, SC
- Zip : 29464-6651
- Phone : (201) 919-1950
Second Address
- Dr. Brian Timothy Bracken
- 1121 Broad St
- Sumter, SC
- Zip : 29150-1902
- Phone : (201) 919-1950
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | DGD8524 | SC |
National Provider Identifier
| NPI | 1063764025 |
|---|---|
| Provider Name | Dr. Brian Timothy Bracken |
| First Address | Mt Pleasant, SC 29464-6651 |
| Second Address | Sumter, SC 29150-1902 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/10/2012 |
| Last Update Date | 17/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.