ANDREA J BRACKMAN P.A.
NPI 1952562761
Physician Assistant in Kenosha, WI

Active since June 24, 2008
10400 75TH ST, KENOSHA, WI 53142(262) 697-7000(630) 734-1560 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrea J Brackman P.a. NPPES

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

ANDREA J BRACKMAN P.A. (NPI 1952562761) is an individual physician assistant in Kenosha, Wisconsin and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1952562761
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANDREA J BRACKMANCredential: P.A.
Location Address10400 75TH STKenosha, WI 53142-7884
Mailing Address2549 N Lake Dr, Apt. 5Milwaukee, WI 53211-3816 · (414) 232-6878 · Fax (630) 734-1560
Fax(630) 734-1560
Sole ProprietorNo
Enumeration DateJune 24, 2008
Last NPPES UpdateJanuary 19, 2012
NPI 1952562761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

10400 75TH ST, Kenosha, WI 53142

Other Names 1

Former Name (1)Andrea J. Sirotak P.a.

Other Identifiers 2

Medicare PIN003832395WI
Medicare PIN65240044WI

Reviews for ANDREA J BRACKMAN P.A.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
10400 75TH ST
KENOSHA, WI 53142
Nurse Practitioner
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Social Worker (Clinical)
10400 75TH ST, #307
KENOSHA, WI 53142
Nurse Practitioner
10400 75TH ST
KENOSHA, WI 53142
Physical Therapist
10400 75TH ST
KENOSHA, WI 53142
Nurse Practitioner (Neonatal)
10400 75TH ST
KENOSHA, WI 53142
Physical Therapist
10400 75TH ST
KENOSHA, WI 53142
Physical Therapy Assistant
10400 75TH ST
KENOSHA, WI 53142
Physical Therapist
10400 75TH ST
KENOSHA, WI 53142
Specialist/Technologist, Other (Surgical Assistant)
10400 75TH ST
KENOSHA, WI 53142
Psychiatry & Neurology (Neurology)
10400 75TH ST, SUITE 315
KENOSHA, WI 53142
Nurse Practitioner
10400 75TH ST
KENOSHA, WI 53142
Pharmacist
10400 75TH ST
KENOSHA, WI 53142
Neurological Surgery
10400 75TH ST
KENOSHA, WI 53142
Family Medicine
10400 75TH ST
KENOSHA, WI 53142
Obstetrics & Gynecology (Gynecology)
10400 75TH ST
KENOSHA, WI 53142
Pharmacist
10400 75TH ST
KENOSHA, WI 53142

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952562761, enumerated as an "individual" on June 24, 2008.

The provider is located at 10400 75TH ST KENOSHA, WI 53142 and the phone number is (262) 697-7000.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.