NATHAN R BRAKKE MD NPI 1972716470

NPI Information

  • NPI: 1972716470
  • Provider Name: NATHAN R BRAKKE, MD
  • Classification: Anesthesiology - 207LP3000X
  • Specialization: Pediatric Anesthesiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 601 CHILDRENS LN
    NORFOLK, VA
    ZIP 23507
  • Phone: (757) 668-7000

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NPI Details

Nathan R Brakke, MD is a pediatric anesthesiology in Norfolk, VA. The provider is an anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. Nathan R Brakke, MD NPI is 1972716470. 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:

601 CHILDRENS LN
NORFOLK, VA
ZIP 23507-971
Phone: (757) 668-7000

The NPI 1972716470 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 enumeration date for this NPI number is 5/8/2007 and was last updated on 3/14/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyA108775CALIFORNIANo
2207L00000XAnesthesiologyMD-52566IOWANo
3207LP3000XAnesthesiologyPediatric AnesthesiologyMD-52566IOWANo
4207LP3000XAnesthesiologyPediatric AnesthesiologyA108775CALIFORNIAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11972716470MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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