# R H BRACKEN DO INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275569600
- **Authorized official:** RICHARD H BRACKEN DO (PRESIDENT)
- **Authorized official phone:** (614) 294-7874

## Contact information

- **Practice address:** 72 W 3RD AVE, COLUMBUS, OH 43201-3209
- **Practice address phone:** (614) 294-7874
- **Mailing address:** 1132 HUNTER AVE, COLUMBUS, OH 43201-3227
- **Mailing address phone:** (614) 261-3728
- **Mailing address fax:** (614) 447-9593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0708621 | — | OH |
| 01 | — | CL6895 | MEDICARE RAILROAD | — |