Brae McDonald
Case Manager/Care Coordinator in Warren, AR. Individual provider (NPI-1).
NPI number1073196358
StatusActive
Last updated in NPPESMay 4, 2021
Details
- NPI
- 1073196358
- Entity type
- Individual (NPI-1)
- Name
- Brae McDonald
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2021
- Certification date
- May 4, 2021
- Last updated
- May 4, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
412 York StWarren, AR 71671-3218
Phone 870-226-9970
Mailing address
412 York StWarren, AR 71671-3218
Phone 870-226-9970
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Case Manager/Care Coordinator providers in Warren · All 178 providers in Warren
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