Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dr. Derald E Brackmann, MD

Individual provider Otology & Neurotology Physician · NPI 1508876699

Dr. Derald E Brackmann, MD practises Otolaryngology in Los Angeles, California. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1962, 64 years ago. Practices with PIH Health Physicians, a 614-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
64
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2100 W 3rd St Ste 111
Los Angeles, CA 90057-1999 Not confirmed with CMS for 13 years — call before visiting
Phone: (213) 483-9930
Fax: (213) 483-0905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otology & Neurotology Physician (primary) Taxonomy 207YX0901X · Licence G11124 (CA)

Record details

NPI number1508876699
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESSeptember 3, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesNEUROLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1962 (64 years in practice)
Group practice Pih Health Physicians — 614 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients522
Services billed 1,017 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at PIH Health Physicians

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 614 clinicians in the practice; 12 are shown here.

Other providers in Los Angeles