Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730203753 Individual Practitioner Female Practitioner

Tully Robert Brackett , CAS I

Specialist • Placerville, CA

Professional Overview & Biography Verified Profile Summary

Tully Brackett, CAS I is a registered healthcare professional specializing in Specialist in Placerville, CA. Practice services are available at 2914 COLD SPRINGS RD # B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2914 Cold Springs Rd # B

Placerville, CA 956674220

Telephone 5306269240
Fax 5306268992
Associated Practice Facility / Clinic
🏢 Progress House, Inc. Facility NPI 1801931878

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Placerville, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
36 Specialists

Practicing in Placerville, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA 3374

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Register Cas Intern
3374 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013337997
Shawna Davids

Counselor - Addiction (Substance Use Disorder)

NPI 1033882758
Thomas Lambdin

Counselor - Addiction (Substance Use Disorder)

NPI 1043108814
Stephanie Schmidt

Counselor - Addiction (Substance Use Disorder)

NPI 1053929810
Windy Lund

Counselor - Addiction (Substance Use Disorder)

NPI 1104744648
Montine Campos

Counselor - Addiction (Substance Use Disorder)

NPI 1104757418

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2914 COLD SPRINGS RD # B, PLACERVILLE, CA 956674220 (Tel: 5306269240)

📍
Updated Business Mailing Address July 08, 2007

Registered at 295 ANDREWS ST, AUBURN, CA 956034602 (Tel: 5302105719)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TULLY BRACKETT, CAS I

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #3374 in CA)

🟢
Initial NPI Registration & Enumeration March 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730203753
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

295 Andrews St

Auburn, CA 956034602

Phone: 5302105719

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.