IndividualActive
Ilene Brackin, PA-C
NPI 1457451981 · Surgical Physician Assistant · Bismarck, ND
Provider details
- NPI number
- 1457451981
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PAC0236 (ND)
Practice location
310 N 10th St
Bismarck, ND 58501-4516
Phone: (701) 530-7500
Fax: (701) 530-7484
Mailing address
310 N 10th St
Bismarck, ND 58501-4516
Registry dates
- Enumerated
- 2006-09-24
- Last updated
- 2023-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.