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: August 16, 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

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.

Anesthesiology
10400 75TH ST
KENOSHA, WI 53142
Physician Assistant
10400 75TH ST
KENOSHA, WI 53142
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Internal Medicine
10400 75TH ST
KENOSHA, WI 53142
Registered Nurse (Critical Care Medicine)
10400 75TH ST
KENOSHA, WI 53142

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 Andrea Brackman's NPI number?

The NPI number for Andrea Brackman is 1952562761. It was assigned to this individual provider in the NPPES registry on June 24, 2008. The provider is also known as Andrea J. Sirotak P.A..

Where is Andrea Brackman located?

Andrea Brackman practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 697-7000.

What is Andrea Brackman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Andrea Brackman was last updated on January 19, 2012. 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.