DR. KRISTEN J BRACKLEIN (NPI# 1730255357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730255357 |
Entity Type | Individual |
Full Name | DR. KRISTEN J BRACKLEIN |
Other Name | DR. KRISTEN J PAK / KOZMA |
Credential | D.O. |
Practice Address |
900 Blood Rd Tecumseh MI 49286-9575 |
Mailing Address |
7700 Cody Ln Apt3306 Sachse TX 75048-6629 |
Practice Telephone | 4322122944 |
Practice Fax Number | 7346610406 |
Enumeration Date | 2006-11-27 |
Last Update Date | 2019-10-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 5101012874 | MI | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | K5173 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 29935601 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3175 Smith Rd, Lambertville, MI 481449434 | 7348565494 | 7348567184 |
6501 Legacy Dr, Plano, TX 750243612 | 9724312345 | 9724315999 |
Street Address |
900 BLOOD RD |
City | TECUMSEH |
State | MI |
Zip Code | 49286-9575 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649706276 | Shivaay 1 Pllc | Pharmacy | 6869 S Occidental Highway, Tecumseh, MI 49286 | 2017-05-02 |
1386073658 | Leslie Ann Kovalski | Counselor | 2698 Burwyn Hills Drive, Tecumseh, MI 49286 | 2013-11-06 |
1629347364 | Carol A. Drayton | Social Worker | 308 South Maumee, Tecumseh, MI 49286 | 2011-12-27 |
1487931812 | Luann M Hurd | Counselor | 808 E. Chicago Blvd., Suite 14, Tecumseh, MI 49286 | 2011-11-14 |
1043596760 | Shawn R Gerrity | Physician Assistant | 501 E. Cummins St, Tecumseh, MI 49286 | 2011-10-26 |
1932331386 | Heidi Cunningham Herman | Social Worker | 2558 Dinius Rd, Tecumseh, MI 49286 | 2009-08-19 |
1417105560 | Nancy Grace Hornsby | Pharmacist | 2655 W. Chicago Blvd, Tecumseh, MI 49286 | 2008-09-03 |
1487822524 | James A Hinesly | Dentist | 126 Herrick Park Dr, Tecumseh, MI 49286 | 2008-02-12 |
1548442676 | Tecumseh Chiropractic Center, Incorporated | Chiropractor | 402 East Chicago Blvd., Tecumseh, MI 49286 | 2007-11-30 |
1740470509 | Todd Eduard Vonhofe | Chiropractor | 120 North Evans St., Tecumseh, MI 49286 | 2007-07-27 |
Find all providers in zip 49286 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497069298 | Deyzi E Owens | Family Medicine | 13126 Tecumseh Rd E, Ste 2, Tecumseh, ON N8N3T6 | 2010-08-04 |
1215081500 | Jeffrey A, Stickney,d.o. P C | Family Medicine | 5449 S Occidental Rd, Tecumseh, MI 49286-9782 | 2007-01-23 |
1174694186 | Keith W. Shuey | Family Medicine | 292 Broadway Street, Box 60, Tecumseh, NE 68450 | 2006-11-13 |
1932123916 | Scott D Straka | Family Medicine | 509 Broadway St, Tecumseh, NE 68450-2306 | 2006-07-26 |
1295726628 | John Joseph Kelly | Family Medicine | 115 S Evans St, Tecumseh, MI 49286-1949 | 2005-11-03 |
1134114754 | Stephen James Bachmeyer | Family Medicine | 501 E Cummins St, Tecumseh, MI 49286-2070 | 2005-09-20 |
1699774133 | Maria Adela A. Cordoba-naguit | Family Medicine | 502 E Cummins St, Tecumseh, MI 49286-2074 | 2005-07-18 |
1447253737 | Mark Edward Rigney | Family Medicine | 502 N Broadway St, Tecumseh, OK 74873-2018 | 2005-05-31 |
1376041343 | Shawnee Medical Center Clinic, Inc | Family Medicine | 418 E Walnut St, Tecumseh, OK 74873-2200 | 2018-01-25 |
1306126206 | Health Specialists of Lenawee | Family Medicine | 6869 S Occidental Rd, Tecumseh, MI 49286-9784 | 2011-08-23 |
Find all providers in TECUMSEH |
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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.