MEDICARE: DR. FRANCIS J BRACONARO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD014503E	PA
2	207R00000X	Internal Medicine Physician	MD014503E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50046146	OTHER	PA	CAPITAL BLUE CROSS
2	152308	OTHER	PA	BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558349167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCIS J BRACONARO MD

Provider Business Mailing Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-4903
Country	:	US
Telephone Number	:	570-271-6144
Fax Number	:	570-271-6578

Provider Business Practice Location Address
First Line	:	2226 BLAKESLEE BOULEVARD DR E STE 200
Second Line	:
City	:	LEHIGHTON
State	:	PA
Zip	:	18235-9619
Country	:	US
Telephone Number	:	484-224-9700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	12/09/2022

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