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NPI · 1619068061 · NPPES-sourced

Michelle Braddy M.D.

ActiveFamily Medicine
NPI Number
1619068061
Type 1 · Individual
Taxonomy Code
207Q00000X
Contact
(217) 925-5730
License IL · 036120332
Last Updated
Enumerated
Primary practice addressIL · 62424-1128
203 S Main StDieterich, IL 62424-1128
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Also known as

  • Formerly known asColeman, Michelle Rae

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1619068061 is registered to Michelle Braddy M.D., a Family Medicine practising at 203 S Main St in Dieterich, Illinois. Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment. Michelle Braddy M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 14D0921285IL· Issued by CLIA ID NUMBER
  • 036120332IL· Issued by ILLINOIS PHYSICIAN LICENSE
  • 930280IL· Issued by HEALTHLINK
  • 2523247IL· Issued by BLUE CROSS BLUE SHIELD
  • P00790343IL· Issued by RAILROAD MEDICARE
  • 336082411IL· Issued by ILLINOIS CONTROLLED SUBSTANCE LICENSE
  • 371391171005IL· Issued by MEDICAID RURAL HEALTH
  • 561920IL· Issued by MEDICARE GROUP PTAN
  • 151351IL· Issued by HEALTH ALLIANCE

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Michelle Braddy M.D. accepts. To confirm in-network status with your specific health plan, contact Michelle Braddy M.D. directly at (217) 925-5730.

Frequently asked

Yes. NPI 1619068061 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (217) 925-5730.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Michelle Braddy M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Family Medicine providers in Illinois.

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