KATIE LEE BRACKEN (NPI# 1922476480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922476480 |
| Entity Type | Individual |
| Full Name | KATIE LEE BRACKEN |
| Credential | ATC |
| Practice Address |
550 Harbor Cove Ln Apt. 4400l Charleston SC 29412-3009 |
| Practice Telephone | 5133793166 |
| Mailing Telephone | 5133793166 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
1819 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
550 HARBOR COVE LN APT. 4400L |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29412-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219055 | Terra Rae Mchugh | Speech-Language Pathologist | 418 Folly Rd. Phc Rehab, Suite B, Charleston, SC 29412 | 2020-03-07 |
| 1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
| 1760956619 | Madison Culler, D.m.d., P.a. | Dentist | 211 Simmons Street, Mount Pleasant, SC 29412 | 2019-01-14 |
| 1366932717 | Harborview Speech Therapy, LLC | Speech-Language Pathologist | 783 Stebbins Street, Charleston, SC 29412 | 2018-05-11 |
| 1780193003 | Grace K Cotton | Speech-Language Pathologist | 1265 Marshview Dr, Charleston, SC 29412 | 2017-09-29 |
| 1639628449 | Matthew Husband | Occupational Therapist | 930 Folly Road, Suite B, Charleston, SC 29412 | 2016-09-22 |
| 1679941843 | Renee Poser | Pharmacist | 907 Folly Rd Suite A, James Island, SC 29412 | 2015-09-04 |
| 1508205717 | Amanda Marie Ashcraft | Dental Hygienist | 113 Wappoo Creek Drive Suite 5, James Island Dental Associates Pa, Charleston, SC 29412 | 2013-06-20 |
| 1104147818 | Glendolyn Harrison | Social Worker | 125e Wappoo Creek Drive, Suite 101e, Charleston, SC 29412 | 2010-06-16 |
| 1487986055 | Rachel E. Brunette | Physical Therapist | 418 B Folly Rd., Charleston, SC 29412 | 2010-02-08 |
| Find all providers in zip 29412 | ||||
| Taxonomy Code | 207PS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Sports Medicine |
| An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. |
| 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 Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144741752 | Katlyn R Hinton | Emergency Medicine | 2000 Oswego Hwy, Sumter, SC 29153-7651 | 2017-07-05 |
| 1972633998 | Ryan E Neault | Emergency Medicine | 316 Boulevard # 999, Anderson, SC 29621-4002 | 2007-03-07 |
| 1609827203 | Stephanie A Rosehart | Emergency Medicine | 1500 Wheat Street, Blatt Pe Center, Room 217, Columbia, SC 29208-0001 | 2006-05-16 |
| 1265056386 | Samantha Anne Molony | Emergency Medicine | 1400 A O Jones Blvd, Fort Mill, SC 29715-1625 | 2020-06-04 |
| 1699255687 | John Michael Rice | Emergency Medicine | 1701 Westchester Dr, Columbia, SC 29210-6655 | 2018-08-19 |
| 1881045128 | Amanda Fly Pope | Emergency Medicine | 315 Medical Pkwy, Ste 100, Greer, SC 29650-2456 | 2016-06-28 |
| 1053568428 | Southern Orthopedics and Sports Medicine, LLC | Emergency Medicine | 851 Leonard Fulghum Blvd, Suite 101, Mt Pleasant, SC 29464-3787 | 2008-08-27 |
| City | CHARLESTON |
| Zip Code | 29412 |
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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.