DR. MARY MARGARET BRACKLEY PHD APRN BC NPI 1477661023

NPI Information

NPI: 1477661023
Provider Name: DR. MARY MARGARET BRACKLEY, PHD, APRN, BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
8109 FREDERICKSBURG RD
PSYCHIATRIC CONSULTATION SERVICES
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 575-0508
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DR. Mary Margaret Brackley, PHD, APRN, BC is a family nurse practitioner in San Antonio, TX. DR. Mary Margaret Brackley, PHD, APRN, BC NPI is 1477661023. 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:

8109 FREDERICKSBURG RD
PSYCHIATRIC CONSULTATION SERVICES
SAN ANTONIO, TX
ZIP 78229-311
Phone: (210) 575-0508
Fax: (210) 575-0501

The enumeration date for this NPI number is 8/25/2006 and was last updated on 7/8/2007.

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	363LF0000X	Nurse Practitioner	Family	445268	TEXAS	Yes
2	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	445268	TEXAS	X

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	3 Q31281	MEDICARE UPIN	TEXAS
2	8C8954	MEDICARE ID-TYPE UNSPECIFIED

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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