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DR. JERRY W BRACKETT M.D.
NPI 1033165394
General Practice in Berea, KY

Active since May 26, 2006
607 CHESTNUT ST, BEREA, KY 40403(859) 582-9331(606) 789-5600 Get Directions Write a Review

NPPES record last updated: June 15, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jerry W Brackett M.d. NPPES

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

DR. JERRY W BRACKETT M.D. (NPI 1033165394) is an individual general practice provider in Berea, Kentucky, licensed in Kentucky (14390) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1033165394
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JERRY W BRACKETTCredential: M.D.
Location Address607 CHESTNUT STBerea, KY 40403-1514
Mailing Address607 Chestnut StBerea, KY 40403-1514 · (859) 582-9331 · Fax (606) 789-5600
Phone(859) 582-9331
Fax(606) 789-5600
Sole ProprietorYes
Enumeration DateMay 26, 2006
Last NPPES UpdateJune 15, 2009
✔ NPI 1033165394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in KY · 14390
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
607 CHESTNUT ST, Berea, KY 40403
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Other Identifiers 6

Medicare UPINB48107KY
Other340002395KY · Railroad Medicare
Medicare UPIN1469901KY
Other000000059655KY · Anthem
Other611139169KY · Humana
Medicaid64143902KY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Brackett's NPI number?

The NPI number for Jerry Brackett is 1033165394. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Jerry Brackett located?

Jerry Brackett practices at 607 Chestnut St, Berea, KY 40403. The listed phone number is (859) 582-9331.

What is Jerry Brackett's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jerry Brackett was last updated on June 15, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.