Dr. Jeffrey C Brackett
Internist - Cardiovascular Disease
168 N Brent St Ste 503
Ventura
, California 93003-2840
Dr. Jeffrey C Brackett
Internist - Cardiovascular Disease
168 N Brent St Ste 503
Ventura
, California 93003-2840
(805) 641-0434
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Jeffrey C Brackett
- 168 N Brent St Ste 503
- Ventura, CA
- Zip : 93003-2840
- Fax : (805) 641-0434
- Phone : (805) 653-0101
Second Address
- Dr. Jeffrey C Brackett
- 168 N Brent St Ste 503
- Ventura, CA
- Zip : 93003-2840
- Fax : (805) 641-0434
- Phone : (805) 653-0101
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | A60080 | CA |
National Provider Identifier
| NPI | 1013919133 |
|---|---|
| Provider Name | Dr. Jeffrey C Brackett |
| First Address | Ventura, CA 93003-2840 |
| Second Address | Ventura, CA 93003-2840 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2005 |
| Last Update Date | 15/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G26355 | (02) | |
| GR0001490 | (05) | CA |
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.