MRS. JUANITA DENAE BRACY PA-C MPA ATC MED. NPI 1396855813

NPI Information

NPI: 1396855813
Provider Name: MRS. JUANITA DENAE BRACY, PA-C, MPA, ATC, MED.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
700 N PEARL ST STE N510
DALLAS, TX
ZIP 75201
Phone: (214) 580-7277
Get Directions

MRS. Juanita Denae Bracy, PA-C, MPA, ATC, MED. is a medical physician assistant in Dallas, TX. MRS. Juanita Denae Bracy, PA-C, MPA, ATC, MED. NPI is 1396855813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

700 N PEARL ST STE N510
DALLAS, TX
ZIP 75201-863
Phone: (214) 580-7277

The NPI 1396855813 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 4/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2255A2300X	Specialist/Technologist	Athletic Trainer	012000864	VIRGINIA	No
2	2255A2300X	Specialist/Technologist	Athletic Trainer		CALIFORNIA	No
3	363AM0700X	Physician Assistant	Medical	306479	NORTH CAROLINA	No
4	363AM0700X	Physician Assistant	Medical	PA60497	CALIFORNIA	No
5	363AM0700X	Physician Assistant	Medical			No
6	363AM0700X	Physician Assistant	Medical	PA15256	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA15256	MEDICAID	TEXAS
2	0070402592	OTHER	CALIFORNIA	NATA BOC
3	0126000864	OTHER	VIRGINIA	ATC VIRGINIA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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