Active NPIIndividual providerSole proprietor

Dr. Johana K Brakeley, MD

Pediatrics, Developmental - Behavioral Pediatrics in Middlebury, Vermont

NPI Number1780786376
Practice location
5 South St, Middlebury, VT 05753-1319
Fax
802-388-1004
Last updated
July 8, 2007

Johana Kashiwa Brakeley is a Pediatrics, Developmental - Behavioral Pediatrics based in Middlebury, VT. Johana Kashiwa Brakeley practices in Middlebury, VT and has the professional credentials of MD. The NPI Number for Johana Kashiwa Brakeley is 1780786376 and holds a License No. 0420006226 (VT). The current practice location address for Johana Kashiwa Brakeley is 5 South St, Middlebury, VT 05753-1319 and can be reached out via phone at 802-388-1002 and via fax at 802-388-1004.

Provider Profile Details

NPI Number
1780786376
Provider Name
Johana Kashiwa Brakeley
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5 South St, Middlebury, VT 05753-1319
Phone Number
802-388-1002
Fax Number
802-388-1004
Sole Proprietor
Yes
Provider Enumeration Date
September 2, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 South St
Middlebury, VT 05753-1319
State
Vermont
Zip
05753-1319
Phone Number
802-388-1002
Fax Number
802-388-1004
Middlebury, VT 05753Get directions →

Provider Business Mailing Address Details

Address
5 South St
Middlebury, VT 05753-1319
City
Middlebury
State
VT
Zip
05753-1319
Phone Number
802-388-2194
Fax Number
802-388-1004

License Information

License Number
0420006226
License State
VT
Taxonomy
Pediatrics, Developmental - Behavioral Pediatrics · 2080P0006X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Pediatrics, Developmental - Behavioral Pediatrics providers near Middlebury, VT

View all Pediatrics, Developmental - Behavioral Pediatrics providers in Middlebury →

Frequently Asked Questions

What is the NPI number of Dr. Johana K Brakeley, MD?

The NPI number of Dr. Johana K Brakeley, MD is 1780786376. It was assigned on September 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Johana K Brakeley, MD?

Dr. Johana K Brakeley, MD is registered under the primary taxonomy Pediatrics, Developmental - Behavioral Pediatrics (code 2080P0006X), licensed in VT under license number 0420006226.

Where does Dr. Johana K Brakeley, MD practice?

The practice location is 5 South St, Middlebury, VT 05753-1319. The office can be reached at 802-388-1002 (phone) or 802-388-1004 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780786376 directly on the NPPES registry website.

Browse related providers