PETER MATTHEW BRACKEN P.A.-C
NPI 1780611715
Physician Assistant - Medical in Spring, TX

Q: What is Peter Bracken's NPI number?

The NPI number for Peter Bracken is 1780611715. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Q: What is Peter Bracken's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peter Bracken was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since June 26, 2006PECOS Enrolled

23011 BRIARHORN DR, SPRING, TX 77389(818) 335-3345 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Peter Matthew Bracken P.a.-c NPPES

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

PETER MATTHEW BRACKEN P.A.-C (NPI 1780611715) is an individual medical provider in Spring, Texas, licensed in California (PA14573) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780611715

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NamePETER MATTHEW BRACKENCredential: P.A.-C

Location Address23011 BRIARHORN DRSpring, TX 77389-5244

Mailing Address5415 Newcastle Ave, #6Encino, CA 91316-2012 · (818) 335-3345

Phone(818) 335-3345

Sole ProprietorNo

Enumeration DateJune 26, 2006

Last NPPES UpdateJuly 20, 2026

NPPES CertifiedJuly 20, 2026

✔ NPI 1780611715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA14573

23011 BRIARHORN DR, Spring, TX 77389

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Other Identifiers 1

OtherPA14573CA · Medical License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Matthew Bracken P.a.-c 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.

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 Peter Bracken's NPI number?

The NPI number for Peter Bracken is 1780611715. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Peter Bracken located?

Peter Bracken practices at 23011 Briarhorn Dr, Spring, TX 77389. The listed phone number is (818) 335-3345.

What is Peter Bracken's specialty?

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

Is Peter Bracken enrolled in Medicare?

Yes. Peter Bracken is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Bracken was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.