KELLY TATUM BRACE (NPI# 1609225986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609225986 |
| Entity Type | Individual |
| Full Name | KELLY TATUM BRACE |
| Credential | DPM |
| Practice Address |
Scott and White 2401 S 31st. St. Temple TX 76508-0001 |
| Practice Telephone | 2547242111 |
| Mailing Telephone | 2547242111 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
T28-2016 | TX | Podiatric Medicine & Surgery Service Providers |
| Street Address |
SCOTT AND WHITE 2401 S 31ST. ST. |
| City | TEMPLE |
| State | TX |
| Zip Code | 76508-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
| 1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
| 1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
| 1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
| 1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
| 1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
| 1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
| Find all providers in zip 76508 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699513 | K. Danneeru Dpm Pllc | Podiatrist | 8104 Pacific St, Frisco, TX 75035-7300 | 2020-11-08 |
| 1689179327 | Southwest Austin Foot & Ankle Clinic, Pllc | Podiatrist | 170 Benney Ln Ste 100, Dripping Springs, TX 78620-5566 | 2018-03-26 |
| 1023513751 | Southwest Austin Foot & Ankle Clinic | Podiatrist | 170 Benney Lane Ste 100, Dripping Springs, TX 78620 | 2018-03-26 |
| 1639695406 | Advantage Foot Care of Houston, Pllc | Podiatrist | 8313 Southwest Fwy Ste 105, Houston, TX 77074-1612 | 2017-08-14 |
| 1508387549 | Barton Chase Garcia | Podiatrist | 116 Imperial Dr Ste A, Victoria, TX 77901-3948 | 2017-06-29 |
| 1164890562 | Free Foot Doctor.com | Podiatrist | 24914 Tomball Pkwy Ste 180, Tomball, TX 77375-5080 | 2015-09-02 |
| 1992069777 | Brady Mallory | Podiatrist | 1940 East Hwy 114 Suite 150, Southlake, TX 76092 | 2012-06-27 |
| 1699034728 | Joel Bruce Dacus | Podiatrist | 4444 Heritage Trace Pkwy Ste 400, Fort Worth, TX 76244-8944 | 2012-05-09 |
| 1619241437 | Foot Center Mcallen-weslaco Pllc | Podiatrist | 4103 N Jackson Road, Ste. 200, Mcallen, TX 78504 | 2012-02-24 |
| 1295041002 | Stephanie Michelle Jupiter | Podiatrist | 531 Crestwater Ct, Houston, TX 77082-1517 | 2010-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KELLY TATUM BRACE.
| 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.