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

Dr. Ivy Lynn Brackup, MD

Individual provider Family Medicine Physician · NPI 1184691891

Dr. Ivy Lynn Brackup, MD is a Family Practice in Dorchester, Massachusetts. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 1991, 35 years ago. Practices with Dothouse Health Inc, a 51-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
35
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1353 Dorchester Ave
Dorchester, MA 02122-2932
Phone: (617) 288-3230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 15530 (MA)

Record details

NPI number1184691891
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 1, 2006
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 1991 (35 years in practice)
Group practice Dothouse Health Inc. — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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