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ELIZABETH C BRACKETT MD NPI 1528035102


NPI Information

NPI: 1528035102
Provider Name: ELIZABETH C BRACKETT, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
5100 GAMBLE DR SUITE 100
MAIL STOP 31200A HELATHPARTNERS WEST CLINIC
SAINT LOUIS PARK, MN
ZIP 55416
Phone: (952) 541-2500
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Elizabeth C Brackett, MD is a family medicine in Saint Louis Park, MN. 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. Elizabeth C Brackett, MD NPI is 1528035102. 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:

5100 GAMBLE DR SUITE 100
MAIL STOP 31200A HELATHPARTNERS WEST CLINIC
SAINT LOUIS PARK, MN
ZIP 55416-582
Phone: (952) 541-2500
Fax: (952) 541-2539

The enumeration date for this NPI number is 3/2/2006 and was last updated on 2/8/2012.


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
1207Q00000XFamily Medicine23476MINNESOTAYes

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
152978000MEDICAIDMINNESOTA
2E22912MEDICARE UPIN
3080006751MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA

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: 5/5/2024

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.