MR. JEREMIAH C. BRACK PA-C NPI 1366835068

NPI Details

MR. Jeremiah C. Brack, PA-C is a physician assistant in Flower Mound, TX with 11 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Jeremiah C. Brack, PA-C NPI is 1366835068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4370 MEDICAL ARTS DR STE 230
FLOWER MOUND, TX
ZIP 75028-748
Phone: (972) 956-8181
Fax: (972) 956-8181

The NPI 1366835068 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 45D2093850 - physician office with a certificate type of Certificate of Accreditation.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Placement of stabilizing device to front, 2-3 spine bone segments (HCPCS:22845)
• Fusion of spine in lower back (HCPCS:22612)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• X-ray of middle and lower spine, 2 views (HCPCS:72080)
• X-ray of middle spine, 2 views (HCPCS:72070)
• Placement of stabilizing device to back of 1 spine bone in neck (HCPCS:22840)
• Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
• Incision or removal of spine bone segment, each additional segment (HCPCS:22216)
• Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
• Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
• Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
• Incision or removal of lower spine bone segment (HCPCS:22214)
• Spinal fusion (HCPCS:NAN02)

The enumeration date for this NPI number is 3/5/2015 and was last updated on 12/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.