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1992454078 NPI number — BRITTANY A DRATH MD

NPI Number: 1992454078
Health Care Provider/Practitioner: BRITTANY A DRATH MD

Information about “1992454078” NPI (BRITTANY A DRATH MD) exists in 1992454078 in HTML format HTML  |  1992454078 in plain Text format TXT  |  1992454078 in PDF (Portable Document Format) PDF  |  1992454078 in an XML format XML  formats.

NPI Number : 1992454078 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992454078",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DRATH",
    "FirstName": "BRITTANY",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RUPP",
    "OtherFirstName": "BRITTANY",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3303 RIDGECREST LANE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KAUKAUNA",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54130",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "920-471-9231",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "855 N WESTHAVEN DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OSHKOSH",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54904-7668",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "920-456-6000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/23/2022",
    "LastUpdateDate": "10/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207P00000X",
        "TaxonomyName": "Emergency Medicine Physician",
        "LicenseNumber": "8591820",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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