DR. ERIN NICOLE BRACK D.O. - NPI 1265606701 - Pediatrics in Tinker Afb, OK

Q: What is Erin Brack's NPI number?

The NPI number for Erin Brack is 1265606701. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Q: What is Erin Brack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Erin Brack was last updated on July 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Dr. Erin Nicole Brack D.o. NPPES

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

DR. ERIN NICOLE BRACK D.O. (NPI 1265606701) is an individual pediatrics provider in Tinker Afb, Oklahoma, licensed in Indiana (02003694A) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1265606701

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. ERIN NICOLE BRACKCredential: D.O.

Location Address7050 AIR DEPOT BLVD STE 1094Tinker Afb, OK 73145-8716

Mailing Address7050 Air Depot Blvd Ste 1094Tinker Afb, OK 73145-8716

Phone(850) 883-8550

Sole ProprietorYes

Enumeration DateApril 16, 2008

Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration

NPPES CertifiedJuly 2, 2025

✔ NPI 1265606701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 02003694A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

7050 AIR DEPOT BLVD STE 1094, Tinker Afb, OK 73145

Open in Google Maps ↗

Secondary Practice Location 1

Location 11200 Childrens AveOklahoma City, OK 73104-4637 · Phone (405) 271-5437

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Erin Nicole Brack D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73145 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA LYNN TRIBULL MD

Emergency Medicine