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

Edward James Bracklin Jr.

Individual provider Driver · NPI 1578342507

Edward James Bracklin Jr. is a Driver in Bismarck, North Dakota. Licensed in North Dakota. Registered with an NPI since 2023.

Licensed in
ND
In the registry since
2023
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Practice location Address checks out

1308 Elbowood Ln
Bismarck, ND 58503-5712
Phone: (701) 955-4997
Fax: (701) 751-2274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 00000 (ND)

Record details

NPI number1578342507
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023

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