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Provider Information for 1649282112

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. EDWARD E BRATTON DPM

Gender: MALE

Individual NPI: 1649282112

Calendar   Last Updated:  2015-10-13
  Certification Date: 

Details

Name Value
NPI 1649282112
Enumeration Date 2006-08-13
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 10746 FIREBRICK CT
TRINITY, FL 34655-5031
United States

Phone: 727-455-5613 | Fax: 727-372-1402
View Map External Link
Primary Practice Address 10746 FIREBRICK CT
TRINITY, FL 34655-5031
United States

Phone: 727-455-5613 | Fax: 727-372-1402
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other MCARE PTAN FOR PASCO FL 87755H
MEDICAID FL 041177900
Other RAILROAD MEDICARE FL 480031838
Other MCARE PTAN FOR HILLS & PINELLAS FL 87755G
Other MEDICAL LICENSE FL PO1421
Other WELLCARE FL 285934
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 213E00000X - Podiatrist FL P01421