Brad Crackel, LAT, ATC, OTC

NPI: 1104884832

Brad Crackel, LAT, ATC, OTC

Q: What is Brad Crackel's NPI number?

Brad Crackel's NPI number is 1104884832, a unique 10-digit identifier issued by CMS.

Q: What does Brad Crackel specialize in?

Brad Crackel specializes in Specialty not listed, taxonomy code 2255A2300X.

Q: Where does Brad Crackel practice?

Brad Crackel practices in Avon, IN 46123-7960.

Q: When was Brad Crackel's NPI issued?

Brad Crackel's NPI was issued on May 2, 2006.

Q: What is Brad Crackel's provider type?

Brad Crackel is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderSpecialty not listed

NPI issued: May 2, 2006

Quick Facts

NPI Number

1104884832

TypeIndividual

StatusActive

SpecialtySpecialty not listed

Taxonomy2255A2300X — Specialty not listed

Phone

(317) 208-3866

StateIN

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1104884832)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (May 2, 2006)

Data source: CMS NPPES

Provider Overview

BRAD CRACKEL, LAT, ATC, OTC is a Healthcare provider based in Avon, IN who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104884832

Provider TypeIndividual Provider

GenderMale

CredentialLAT, ATC, OTC

StatusActive

Enumeration DateMay 2, 2006

Practice Location

CityAvon

StateIN

ZIP Code46123-7960

Phone(317) 208-3866

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code2255A2300X

License StateIN

Mailing Address

CityAvon

StateIN

ZIP Code46123-7960

Phone(317) 208-3866

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104884832 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104884832for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104884832 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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