ROGER L BRACCHI M.D. NPI 1811996127

NPI Information

NPI: 1811996127
Provider Name: ROGER L BRACCHI, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1806 W LINCOLN AVE
YAKIMA, WA
ZIP 98902
Phone: (509) 452-4520
Get Directions

Roger L Bracchi, M.D. is a family medicine in Yakima, WA. The provider is 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. Roger L Bracchi, M.D. NPI is 1811996127. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1806 W LINCOLN AVE
YAKIMA, WA
ZIP 98902-473
Phone: (509) 452-4520
Fax: (509) 452-5224

The enumeration date for this NPI number is 7/19/2005 and was last updated on 3/1/2012.

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	207Q00000X	Family Medicine		MD00015316	WASHINGTON	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	0042775	OTHER	WASHINGTON	LABOR & INDUSTRIES
2	GAB38059	MEDICARE OSCAR/CERTIFICATION	WASHINGTON
3	8938324	OTHER	WASHINGTON	CRIME VICTIM
4	P00050809	OTHER	WASHINGTON	RAILROAD MEDICARE
5	1030782	MEDICAID	WASHINGTON
6	GAB38063	MEDICARE PIN	WASHINGTON

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

NPI Synchronization or Removal

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