Dr. Johana Kashiwa Brakeley
M.D. | Developmental - Behavioral Pediatrics | Female
Dr. Johana Kashiwa Brakeley, M.D. is a Middlebury, Vermont based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Dr. Johana Kashiwa Brakeley is
5 South St, Middlebury, Vermont - 05753-1319. She can be contacted on phone at
802-388-1002 and fax number 802-388-1004.
Dr. Johana Kashiwa Brakeley is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Johana Kashiwa Brakeley is
1780786376 which was assigned by NPPES on 02 Sep, 2006 and it was last updated on 08 Jul, 2007.
Dr. Johana Kashiwa Brakeley license number is
0420006226 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in Vermont.
Dr. Johana Kashiwa Brakeley is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Dr. Johana Kashiwa Brakeley basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Dr. Johana Kashiwa Brakeley |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Johana Kashiwa Brakeley address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5 South St
Middlebury, VT, 05753-1319
United States |
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| Phone Number : | 802-388-1002 |
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| Fax Number : | 802-388-1004 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1780786376 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Sep, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Johana Kashiwa Brakeley are as mentioned. Primary taxonomy code for Dr. Johana Kashiwa Brakeley, M.D. is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | 0420006226 | VT |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Johana Kashiwa Brakeley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 481306 | Other | VT | CIGNA INSURANCE |
| 26V004 | Other | VT | MVP INSURANCE |
| 0005148 | Other | VT | BLUE CROSS & BLUE SHIELD |
| 0005148 | MEDICAID | VT | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5 South St
Middlebury, VT, 05753-1319
United States |
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| Phone Number : | 802-388-2194 |
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| Fax Number : | 802-388-1004 |
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Business Location:
Patients can refer following map for directions to
Dr. Johana Kashiwa Brakeley practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.