BILL BRACKER, PSYD, LLC
NPI 1184186553
Psychologist - Clinical in Wilton Manors, FL

Active since April 03, 2019
1881 NE 26TH ST, WILTON MANORS, FL 33305(954) 895-1022 Get Directions Write a Review

NPPES record last updated: February 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2023, Apr 3, 2019 (2 updates tracked since 2019).

About Bill Bracker, Psyd, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BILL BRACKER, PSYD, LLC (NPI 1184186553) is a healthcare organization registered as a clinical in Wilton Manors, Florida and active in the NPI registry since April 2019. The organization lists William Bracker, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1184186553
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBILL BRACKER, PSYD, LLC
Location Address1881 NE 26TH STWilton Manors, FL 33305-1416
Mailing AddressPo Box 4722Fort Lauderdale, FL 33338-4722 · (954) 895-1022
Organization SubpartNo
Authorized OfficialWilliam BrackerOwner/member · (954) 895-1922
Enumeration DateApril 3, 2019
Last NPPES UpdateFebruary 4, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2023
✔ NPI 1184186553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1881 NE 26TH ST, Wilton Manors, FL 33305

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bill Bracker, Psyd, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bill Bracker, Psyd, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1407882145
1881 NE 26TH ST STE 70
Wilton Manors, FL 33305
(954) 895-1022
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bill Bracker, Psyd, LLC's NPI number?

The NPI number for Bill Bracker, Psyd, LLC is 1184186553. It was assigned to this organization in the NPPES registry on April 3, 2019.

Where is Bill Bracker, Psyd, LLC located?

Bill Bracker, Psyd, LLC is located at 1881 NE 26th St, Wilton Manors, FL 33305. The listed phone number is (954) 895-1022.

What is Bill Bracker, Psyd, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Bill Bracker, Psyd, LLC enrolled in Medicare?

Yes. Bill Bracker, Psyd, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bill Bracker, Psyd, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Bill Bracker, Psyd, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bill Bracker, Psyd, LLC was last updated on February 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.