RICHARD W BRACKETT (NPI# 1568564672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568564672 |
| Entity Type | Individual |
| Full Name | RICHARD W BRACKETT |
| Credential | MD |
| Practice Address |
6145 Shallowford Rd Ste 102 Chattanooga TN 37421 |
| Practice Telephone | 4238936890 |
| Practice Fax Number | 4236481115 |
| Mailing Telephone | 4238936890 |
| Mailing Fax Number | 4236481115 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2013-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
16562 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3731246 | 05 | |
| TN | BLUE CROSS BLUE SHIELD | 4110715 | 01 |
| Street Address |
6145 SHALLOWFORD RD STE 102 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275784217 | Brackett Rheumatology Pllc | Pharmacy | 6145 Shallowford Rd, Ste 102, Chattanooga, TN 37421-7808 | 2008-10-08 |
| 1932368552 | Robert Irick Laugherty | Physician Assistant | 6145 Shallowford Rd, Chattanooga, TN 37421-7808 | 2008-06-09 |
| 1871647800 | Scenic City Rheumatology, Pllc | Specialist | 6145 Shallowford Rd, Ste 102, Chattanooga, TN 37421-7808 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1205063591 | Jayne Littlejohn Crowe | Internal Medicine | 979 E. Third St, Suite B - 805, Chattanooga, TN 37403-2141 | 2009-06-15 |
| 1396983524 | Lizeth Jovanna Romero | Internal Medicine | 979 E 3rd St Ste B-805, Chattanooga, TN 37403-2136 | 2009-01-26 |
| 1558775130 | Jonathan Mills | Internal Medicine | 979 E 3rd St Ste B-805, Chattanooga, TN 37403-2136 | 2014-06-11 |
| 1952627333 | Melinda Jane Garcia-rosell | Internal Medicine | 725 Glenwood Drive, Suite E-884, Chattanooga, TN 37404 | 2010-04-11 |
| 1205911732 | Chattanooga Hamilton County Hospital Authority | Internal Medicine | 979 E 3rd St, Suite B-805, Chattanooga, TN 37403-2136 | 2006-10-25 |
| 1023100914 | Indravadan Keshavlal Shah | Internal Medicine | 2339 Mccallie Ave, Suitt # 203, Chattanooga, TN 37404 | 2006-09-28 |
| 1689692998 | Michael Brit | Internal Medicine | 979 E 3rd St, Suite B-805, Chattanooga, TN 37403-2136 | 2006-07-17 |
| 1437177441 | Elizabeth Turner | Internal Medicine | 979 E 3rd St, Suite B-805, Chattanooga, TN 37403-2136 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043799026 | American Arthritis & Rheumatology Associates Tn, Pllc | Internal Medicine | 6005 Park Ave Ste 409, Memphis, TN 38119-5214 | 2018-08-09 |
| 1316234974 | Maryam Pourpaki | Internal Medicine | 4230 Harding Pike Ste 301, Nashville, TN 37205-2098 | 2011-07-05 |
| 1336460054 | Mark Robin Boothby | Internal Medicine | Div of Rheumatology Vanderbilt Medical Ctr, T-3217 Medical Center North, 1161 21st Ave S, Nashville, TN 37232-0001 | 2010-06-16 |
| 1083931539 | Medical Specialists of Johnson City | Internal Medicine | 2528 Wesley St Ste 2, Johnson City, TN 37601-1766 | 2010-04-23 |
| 1487880829 | Syed Saquib Islam | Internal Medicine | University of Tennessee 910 Madison Ave Ste 1031, Memphis, TN 38163-1658 | 2009-05-29 |
| 1154564086 | Seunghyun Kim | Internal Medicine | 956 Court Ave Ste G-326, Memphis, TN 38103-2814 | 2009-04-08 |
| 1487814166 | Cecilia Pilar Chung Nakandakari | Internal Medicine | S 1115 Medical Center North, 1611 21st Avenue South, Nashville, TN 37232-2681 | 2008-06-16 |
| 1558533760 | J Suzanne Moore | Internal Medicine | 303 Med Tech Pkwy Ste 200, Johnson City, TN 37604 | 2008-03-27 |
| 1457408304 | Chad Stephen Boomershine | Internal Medicine | Suite 2501 Tvc, 1301 22nd Ave South, Nashville, TN 37232-0001 | 2007-01-04 |
| 1659428548 | Anne E Eyler | Internal Medicine | 5653 Frist Blvd Ste 630, Hermitage, TN 37076-2094 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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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.