DR. ROBERTA SAMELSON BRACKEN M.D. NPI 1770557753

NPI Information

  • NPI: 1770557753
  • Provider Name: DR. ROBERTA SAMELSON BRACKEN, M.D.
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Individual
  • Address: 25 COURTHOUSE DR NE
    BOLIVIA, NC
    ZIP 28422
  • Phone: (910) 253-2250

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NPI Details

DR. Roberta Samelson Bracken, M.D. is an endocrinology and diabetes and metabolism internal medicine in Bolivia, NC. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Roberta Samelson Bracken, M.D. NPI is 1770557753. 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:

25 COURTHOUSE DR NE
BOLIVIA, NC
ZIP 28422
Phone: (910) 253-2250
Fax: (910) 253-2370

The enumeration date for this NPI number is 2/15/2006 and was last updated on 5/18/2022.

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
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism35280NORTH CAROLINAYes

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
11770557753MEDICAIDNORTH CAROLINA
28917621MEDICAIDNORTH CAROLINA

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: 11/21/2025

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