SONALI JAGDISH BRACKEN M.D.,PH.D.
NPI 1013449818
Student in an Organized Health Care Education/Training Program in Durham, NC

Q: What is Sonali Bracken's NPI number?

The NPI number for Sonali Bracken is 1013449818. It was assigned to this individual provider in the NPPES registry on March 30, 2017. The provider is also known as Sonali Jagdish Shah.

Q: What is Sonali Bracken's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sonali Bracken was last updated on April 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment

2301 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sonali Jagdish Bracken M.d.,ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SONALI JAGDISH BRACKEN M.D.,PH.D. (NPI 1013449818) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Connecticut School Of Medicine (2017).

NPPES Registry Identity

NPI1013449818

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSONALI JAGDISH BRACKENCredential: M.D.,PH.D.

Location Address2301 ERWIN RDDurham, NC 27705-4699

Mailing Address2301 Erwin RdDurham, NC 27705-4699 · (919) 684-8111

Phone(919) 684-8111

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2017

Enumeration DateMarch 30, 2017

Last NPPES UpdateApril 3, 2017

✔ NPI 1013449818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2301 ERWIN RD, Durham, NC 27705

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Other Names 1

Former Name (1)Sonali Jagdish Shah

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sonali Jagdish Bracken M.d.,ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305333600

PECOS Enrollment IDI20251011000599

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HONGYUN JUNE ZHU M.D.

Radiology (Diagnostic Radiology)