Individual provider · Type 1 NPI

Ilene Brackin, PA-C

Surgical Physician Assistant · Bismarck, ND

NPI number 1457451981 Active

Practice location

310 N 10th St
Bismarck, ND 58501-4516

Call (701) 530-7500 Map

Fax (701) 530-7484

Other practice locations

  • 101 3rd Ave SW, Minot, ND 58701-3880 · (701) 857-3655
  • 2305 37th Ave SW, Minot, ND 58701-7669 · (701) 857-5000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPAC0236 (ND)
Surgical Physician Assistant 363AS0400XPAC0236 (ND)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

50 other providers at this address

Other surgical physician assistant providers in Bismarck

See all in Bismarck →

About NPI 1457451981

Ilene Brackin, PA-C's National Provider Identifier is 1457451981, issued on Sep 24, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bismarck, ND. The record was last updated on Dec 28, 2023.