NPI 1780786376 · live from the CMS NPI Registry
Johana Kashiwa Brakeley, M.D.
Pediatrics, Developmental - Behavioral Pediatrics in Middlebury, VT. National Provider Identifier 1780786376, active.
NPI record
| NPI | 1780786376 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Developmental - Behavioral Pediatrics 2080P0006X |
| Practice location | 5 South St, Middlebury, VT 05753 |
| Practice phone | 802-388-1002 |
| Enumerated | September 2, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics primary | 2080P0006X | 0420006226 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.