Katie Lee Bracken, ATC - Emergency Medicine in Charleston, SC

Katie Lee Bracken, ATC is a Emergency Medicine - Sports Medicine physician based in Charleston, South Carolina. Katie Lee Bracken is licensed to practice in South Carolina (license number 1819) and her current practice location is 550 Harbor Cove Ln, Apt. 4400l, Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at (513) 379-3166.

NPI number for Katie Lee Bracken is 1922476480 and her current mailing address is 550 Harbor Cove Ln, Apt. 4400l, Charleston, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922476480.

Contact Information

Katie Lee Bracken, ATC
550 Harbor Cove Ln, Apt. 4400l,
Charleston, SC 29412-3009
(513) 379-3166
Not Available

Map and Direction




Physician's Profile

Full NameKatie Lee Bracken
GenderFemale
SpecialityEmergency Medicine - Sports Medicine
Location550 Harbor Cove Ln, Charleston, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922476480
  • Provider Enumeration Date: 09/14/2015
  • Last Update Date: 09/14/2015

Medical Identifiers

Medical identifiers for Katie Lee Bracken such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922476480NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PS0010XEmergency Medicine - Sports Medicine 1819 (South Carolina)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. Katie Lee Bracken 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 AddressPractice Location Address
Katie Lee Bracken, ATC
550 Harbor Cove Ln, Apt. 4400l,
Charleston, SC 29412-3009

Ph: (513) 379-3166
Katie Lee Bracken, ATC
550 Harbor Cove Ln, Apt. 4400l,
Charleston, SC 29412-3009

Ph: (513) 379-3166

Reviews and Comments


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