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Individual

MS. REBECCA BRACKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
013228
ME
207L00000X
Anesthesiology Physician
Primary
013228
ME
207L00000X
Anesthesiology Physician
Primary
MD13228
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000298
ANTHEM BLUE SHIELD
ME
01
0005595242
AETNA
ME
01
050050824
PBA RAILROAD MEDICARE
ME
05
269870099
ME
01
6137395
CIGNA
ME
Enumeration date
08/10/2005
Last updated
01/13/2026
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