DR. JEFFREY C BRACKETT (NPI# 1013919133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013919133 |
Entity Type | Individual |
Full Name | DR. JEFFREY C BRACKETT |
Credential | MD |
Practice Address |
168 N Brent St Ste 503 Ventura CA 93003-2840 |
Practice Telephone | 8056530101 |
Practice Fax Number | 8056410434 |
Mailing Telephone | 8056530101 |
Mailing Fax Number | 8056410434 |
Enumeration Date | 2005-06-01 |
Last Update Date | 2016-11-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A60080 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0001490 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831101625 | Jeffrey Alan Brackett | Dentist | 243 Us Rte #1, Ste #1, Scarbono, ME 04074 | 2006-08-12 |
Street Address |
168 N BRENT ST STE 503 |
City | VENTURA |
State | CA |
Zip Code | 93003-2840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932731866 | Sally F Mcnally | Advanced Practice Midwife | 168 N Brent St, Ventura, CA 93003-2817 | 2020-02-08 |
1710367693 | Stephan Sweet, M.d. Inc. | Orthopaedic Surgery | 168 N Brent St, Ste 505, Ventura, CA 93003-2817 | 2015-06-04 |
1518363001 | Robert T Mazurek M D A Professional | Specialist | 168 N Brent St, Suite 501, Ventura, CA 93003-2817 | 2014-11-10 |
1013312594 | Antulio B Aroche Jr Do A Professional Corporation | Orthopaedic Surgery | 168 N Brent St, Suite 505, Ventura, CA 93003-2817 | 2014-10-27 |
1861738718 | Diane Jeanne Milstead | Advanced Practice Midwife | 168 N Brent St, 407, Ventura, CA 93003-2817 | 2012-12-21 |
1699011569 | Ventura County Neurosurgery Associates Medical Group | Neurological Surgery | 168 N Brent St, Suite 408, Ventura, CA 93003-2817 | 2012-12-21 |
1083950018 | David L. Westra, Md, A Professional Corporation | Neurological Surgery | 168 N Brent St, Suite 408, Ventura, CA 93003-2817 | 2012-12-19 |
1164768107 | Michael J Dorsi, M.d., A Professional Corporation | Neurological Surgery | 168 N Brent St, Suite 408, Ventura, CA 93003-2817 | 2012-12-19 |
1164766291 | Tracy Ann Lyou | Nurse Practitioner | 168 N Brent St, Suite 502, Ventura, CA 93003-2817 | 2012-11-15 |
1831440981 | Ventura Orthopedic Spine, Inc | Orthopaedic Surgery | 168 N Brent St, Suite 505, Ventura, CA 93003-2840 | 2012-09-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
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Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003017666 | Cory Michael Lee Nitzel | Internal Medicine | 300 Hillmont Ave Ste 503, Ventura, CA 93003-1651 | 2007-05-30 |
1881798056 | Thomas Q Kong Jr. | Internal Medicine | 100 N. Brent St., Suite 301, Ventura, CA 93003 | 2006-09-11 |
1629040480 | David Andrew Philips | Internal Medicine | 168 N Brent St Ste 503, Ventura, CA 93003-2840 | 2006-02-06 |
1538161658 | George D Mitchell | Internal Medicine | 6633 Telephone Rd, Ste 200, Ventura, CA 93003-5569 | 2005-06-01 |
1376862938 | Sohail Abdi Moradi | Internal Medicine | 3291 Loma Vista Rd, Ventura, CA 93003-3099 | 2010-05-21 |
1619031168 | Dale Gosaynie | Internal Medicine | 3291 Loma Vista Rd, Ventura, CA 93003-3099 | 2006-12-20 |
1154425320 | Newton J. Friedman | Internal Medicine | 100 N Brent St, Ste 301, Ventura, CA 93003 | 2006-09-11 |
1063516235 | Craig S Mansour | Internal Medicine | 100 N Brent St, Ste 301, Ventura, CA 93003 | 2006-09-11 |
1972607141 | Ventura Cardiology Consultants Medical Group, Inc. | Internal Medicine | 100 N Brent St, Ste 301, Ventura, CA 93003 | 2006-09-11 |
1457364655 | Nolan J Mayer | Internal Medicine | 100 N Brent St, Ste 301, Ventura, CA 93003 | 2006-08-15 |
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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.