ROBERTA S. BRACKEN M.D. – NPI #1770557753
Internal Medicine

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.

ROBERTA BRACKEN is a physician located in BOLIVIA, NC. NPPES has assigned the NPI number 1770557753 to ROBERTA BRACKEN on February 15, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 4 years ago on May 18, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROBERTA BRACKEN below.

NPI Profile for
ROBERTA S. BRACKEN

NPI Number
1770557753
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ROBERTA S. BRACKEN
Credentials
M.D.
Primary location
25 COURTHOUSE DR NE
BOLIVIA, NC 28422
Phone: (910) 253-2250 Fax: (910) 253-2370
Mailing address
25 COURTHOUSE DRIVE NE
P O BOX 9
BOLIVIA, NC 28422
Phone: (910) 253-2250 Fax: (910) 253-2370
Sole Proprietor
No
Updated
Certification Date
May 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ROBERTA BRACKEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC1770557753
MEDICAIDNC8917621
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)
NC 35280

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.