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LAURA D BRAKE PA-C
NPI 1679764633
Physician Assistant - Medical in Phoenixville, PA

Active since August 06, 2007PECOS Enrolled
140 NUTT RD, PHOENIXVILLE, PA 19460(610) 983-1221 Get Directions Write a Review

NPPES record last updated: September 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laura D Brake Pa-c NPPES

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

LAURA D BRAKE PA-C (NPI 1679764633) is an individual medical provider in Phoenixville, Pennsylvania, licensed in Pennsylvania (MA054467) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1679764633
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLAURA D BRAKECredential: PA-C
Location Address140 NUTT RDPhoenixville, PA 19460-3906
Mailing AddressPo Box 425Lederach, PA 19450-0425 · (800) 528-0006 · Fax (732) 349-6030
Phone(610) 983-1221
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 6, 2007
Last NPPES UpdateSeptember 9, 2011
✔ NPI 1679764633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA054467
Also ListedPhysician AssistantTaxonomy 363A00000X · License OA002510 (PA)
140 NUTT RD, Phoenixville, PA 19460
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura D Brake Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870687601
PECOS Enrollment IDI20260421003480
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.

Other Providers at the Same Location NPPES 20

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

BRENDAN TANNENBAUM DO
Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
DANIEL MINUKHIN DO
Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
MAHESH VASUDEVAN DO
Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
RAJ K. SHARMA MD
Hospitalist
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
DR. MOHAMED MUSTAFA DARWISH MD
Internal Medicine
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (484) 921-7311
KRISTIN M SPIEGEL MD
Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
DR. AYUSHI BISARIA DPM
Podiatrist (Foot & Ankle Surgery)
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
LISA ANNE SANTORO CRNA
Nurse Anesthetist, Certified Registered
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000

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 Laura Brake's NPI number?

The NPI number for Laura Brake is 1679764633. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Laura Brake located?

Laura Brake practices at 140 Nutt Rd, Phoenixville, PA 19460. The listed phone number is (610) 983-1221.

What is Laura Brake's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Laura Brake enrolled in Medicare?

Yes. Laura Brake is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laura Brake was last updated on September 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.