HomeNPI Verification

NPI Verification

National Provider Identifier: 1558753327

Caleb Brackett, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (3)

Community Health Worker

Code: 172V00000X

Family Medicine

Code: 207Q00000X

Primary

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Practice Address

PO BOX 20970

CHEYENNE, WY 820037020

Phone: 307-996-4777

NPI Enumeration Date

March 3, 2015

NPI Number

1558753327

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry