Individual
DR. ROBERT BRUCE BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 PIEDMONT AVE, STE. 7000, CINCINNATI, OH 45219-4231
(513) 475-8787
(513) 475-7239
Mailing address
3200 BURNET AVE, 3 SOUTH, CREDENTIALING, CINCINNATI, OH 45229-3019
(513) 475-8787
(513) 475-7239
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35-046750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0505395
—
OH
05
—
100328150
—
IN
05
—
64780364
—
KY
Enumeration date
03/08/2006
Last updated
04/17/2015
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