Bracken Smith, PPS is a
Psychologist - School based in Big Creek, California. Bracken Smith is licensed to practice in California (license number 220116511) and his current practice location is
55190 Point Rd, Big Creek, California. He can be reached at his office (for appointments etc.) via phone at
(559) 893-3314.
NPI number for Bracken Smith is 1104321991 and his current mailing address is 1111 Van Ness Ave, Fresno, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104321991.
Healthcare Provider's Profile
| Full Name | Bracken Smith |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 55190 Point Rd, Big Creek, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104321991
- Provider Enumeration Date: 03/26/2018
- Last Update Date: 11/05/2025
Medical Identifiers
Medical identifiers for Bracken Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104321991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TS0200X | Psychologist - School | 220116511 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bracken Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Bracken Smith, PPS 1111 Van Ness Ave, Fresno, CA 93721-2002 Ph: (559) 265-3000 | Bracken Smith, PPS 55190 Point Rd, Big Creek, CA 93605 Ph: (559) 893-3314 |
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