TRACEY BRASCOM
NPI 1093569329
Student in an Organized Health Care Education/Training Program in Largo, MD

Active since April 15, 2024
901 HARRY S TRUMAN DR N, LARGO, MD 20774(240) 677-3000(240) 677-0028 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracey Brascom NPPES

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

TRACEY BRASCOM (NPI 1093569329) is an individual student in an organized health care education/training program in Largo, Maryland and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1093569329
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTRACEY BRASCOM
Location Address901 HARRY S TRUMAN DR NLargo, MD 20774-5477
Mailing Address901 Harry S Truman Dr NLargo, MD 20774-5477 · (240) 677-0021
Fax(240) 677-0028
Sole ProprietorNo
Enumeration DateApril 15, 2024
NPPES CertifiedApril 13, 2024
NPI 1093569329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
901 HARRY S TRUMAN DR N, Largo, MD 20774

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.

Emergency Medicine
901 HARRY S TRUMAN DR N
LARGO, MD 20774
Advanced Practice Midwife
901 HARRY S TRUMAN DR N
UPPER MARLBORO, MD 20774
Student in an Organized Health Care Education/Training Program
901 HARRY S TRUMAN DR N
LARGO, MD 20774
Midwife
901 HARRY S TRUMAN DR N
LARGO, MD 20774
Orthopaedic Surgery (Orthopaedic Trauma)
901 HARRY S TRUMAN DR N
LARGO, MD 20774
Student in an Organized Health Care Education/Training Program
901 HARRY S TRUMAN DR N
LARGO, MD 20774
Nurse Anesthetist, Certified Registered
901 HARRY S TRUMAN DR N
LARGO, MD 20774
Nurse Practitioner (Psychiatric/Mental Health)
901 HARRY S TRUMAN DR N
LARGO, MD 20774

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 Tracey Brascom's NPI number?

The NPI number for Tracey Brascom is 1093569329. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Tracey Brascom located?

Tracey Brascom practices at 901 Harry S Truman Dr N, Largo, MD 20774. The listed phone number is (240) 677-3000.

What is Tracey Brascom's specialty?

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

When was this NPI record last updated?

The NPPES record for Tracey Brascom was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.