NPI 1306978580 · live from the CMS NPI Registry
Deborah Susan Brackett, MD
Family Medicine in Cheyenne, WY. National Provider Identifier 1306978580, active.
NPI record
| NPI | 1306978580 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 214 E 23rd St, Cheyenne, WY 82001 |
| Practice phone | 307-432-6629 |
| Mailing address | Po Box 20970, Cheyenne, WY 82003 |
| Enumerated | March 12, 2007 |
| Last updated | July 5, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospitalist | 208M00000X | 7748A (WY) |
| Family Medicine primary | 207Q00000X | 7748A (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.