Individual
TROY D BRACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5908 S 142ND ST, OMAHA, NE 68137-2800
(402) 354-1900
(402) 354-1910
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19921
NE
207Q00000X
Family Medicine Physician
47278
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024994800
—
NE
05
—
1053369900
—
IA
05
—
47068731706
—
NE
05
—
47068731734
—
NE
05
—
47068731741
—
NE
05
—
47068731749
—
NE
Enumeration date
05/04/2006
Last updated
07/15/2016
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