Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea J Brackman, PA

Individual provider Physician Assistant · NPI 1952562761

Andrea J Brackman, PA is a Physician Assistant in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10400 75th St
Kenosha, WI 53142-7884
Phone: (262) 697-7000
Fax: (630) 734-1560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (WI)

Record details

NPI number1952562761
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 24, 2008
Last updated in NPPESJanuary 19, 2012

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