IndividualActive
Larry Brackenbury
NPI 1770842700 · Contractor · Pine City, MN
Larry Brackenbury is a Contractor provider in Pine City, MN (NPI 1770842700).
Provider details
- NPI number
- 1770842700
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
810 8th St Sw
Pine City, MN 55063-2037
Phone: (320) 629-3730
Street-level locationGet directions
Mailing address
810 8th St Sw
Pine City, MN 55063-2037
Registry dates
- Enumerated
- 2012-05-11
- Last updated
- 2012-05-11
Frequently asked questions
- What is Larry Brackenbury's NPI number?
- Larry Brackenbury's National Provider Identifier (NPI) is 1770842700, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Brackenbury's specialty?
- Larry Brackenbury is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).
- Where is Larry Brackenbury located?
- Larry Brackenbury's practice location on file with NPPES is 810 8th St Sw, Pine City, MN 55063-2037.
- What is Larry Brackenbury's phone number?
- The practice phone number listed in the NPPES registry for Larry Brackenbury is (320) 629-3730.
- Is Larry Brackenbury's NPI active?
- Yes — Larry Brackenbury's NPI (1770842700) is active in the NPPES registry as of the last update on 2012-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.