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DR. HEATHER BRACEY M.D. NPI 1780693697


NPI Information

NPI: 1780693697
Provider Name: DR. HEATHER BRACEY, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: RED RIVER CONSULTANTS INC

PECOS Registration: Yes

Address:
8001 YOUREE DR
SHREVEPORT, LA
ZIP 71115
Phone: (318) 212-3530
Get Directions

DR. Heather Bracey, M.D. is a diagnostic radiology radiology in Shreveport, LA with 24 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Heather Bracey, M.D. NPI is 1780693697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:2000

The provider's business location address is:

8001 YOUREE DR
SHREVEPORT, LA
ZIP 71115-302
Phone: (318) 212-3530

The NPI 1780693697 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 8/7/2006 and was last updated on 10/2/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology17685MISSISSIPPIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1512I300006MEDICARE PINMISSISSIPPI
2P00462159OTHERMISSISSIPPIRAILROAD MEDICARE
3300001072MEDICARE PINMISSISSIPPI
4P00436433OTHERMISSISSIPPIRAILROAD MEDICARE
5I59293MEDICARE UPINMISSISSIPPI
61422835MEDICAIDLOUISIANA
704724096MEDICAIDMISSISSIPPI

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: 11/14/2023

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.