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Tully Robert Brackett, CAS I

NPI 1730203753ActiveIndividual· Specialist· Placerville, CA

Specialist (CAS I) in Placerville, California, licensed in CA, with an NPI issued in March 2007.

Overview

NPI1730203753
StatusActive
Entity typeIndividual
CredentialCAS I
Sole proprietorNo
NPI issuedMar 16, 2007
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X3374CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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