DR. ODIE L BRACY III PHD
NPI 1285639476
Clinical Neuropsychologist in Indianapolis, IN

Q: What is Odie Bracy's NPI number?

The NPI number for Odie Bracy is 1285639476. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Q: What is Odie Bracy's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Odie Bracy was last updated on December 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 15, 2005

6555 CARROLLTON AVE, INDIANAPOLIS, IN 46220(317) 257-9672(317) 257-9674 Get Directions Write a Review

NPPES record last updated: December 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Odie L Bracy Iii Phd NPPES

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

DR. ODIE L BRACY III PHD (NPI 1285639476) is an individual clinical neuropsychologist in Indianapolis, Indiana, licensed in Indiana (20010368A) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1285639476

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. ODIE L BRACY IIICredential: PHD

Location Address6555 CARROLLTON AVEIndianapolis, IN 46220-1664

Mailing Address6555 Carrollton AveIndianapolis, IN 46220-1664 · (317) 257-9672 · Fax (317) 257-9674

Phone(317) 257-9672

Fax(317) 257-9674

Sole ProprietorNo

Enumeration DateJune 15, 2005

Last NPPES UpdateDecember 29, 2010

✔ NPI 1285639476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in IN · 20010368A

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

6555 CARROLLTON AVE, Indianapolis, IN 46220

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Other Identifiers 3

Other000000085922IN · Anthem Bc/bs

Medicare ID-Type Unspecified521040IN

Medicaid100073260IN

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 Odie Bracy's NPI number?

The NPI number for Odie Bracy is 1285639476. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Odie Bracy located?

Odie Bracy practices at 6555 Carrollton Ave, Indianapolis, IN 46220. The listed phone number is (317) 257-9672.

What is Odie Bracy's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Odie Bracy was last updated on December 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.