Individual provider · NPI-1
Dr. Robert Bruce Bracken, MD
Urology · Cincinnati, OH
NPI number1386612398
StatusActive
Last updated in NPPESApr 17, 2015
Details
- NPI
- 1386612398
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert Bruce Bracken
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2006
- Last updated
- Apr 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 35-046750 | OH | Yes |
Practice location
222 Piedmont AveSte. 7000
Cincinnati, OH 45219-4231
Phone 513-475-8787 · Fax 513-475-7239
Mailing address
3200 Burnet Ave3 South, Credentialing
Cincinnati, OH 45229-3019
Phone 513-475-8787 · Fax 513-475-7239
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