Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeremiah C. Brack, PA-C

Individual provider Physician Assistant · NPI 1366835068

Mr. Jeremiah C. Brack, PA-C is a Physician Assistant in Flower Mound, Texas. Qualified in 2014, 12 years ago. Practices with Arlington Neurosurgeons, PLLC, a 45-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4370 Medical Arts Dr Ste 230
Flower Mound, TX 75028-1748
Phone: (972) 956-8181
Fax: (972) 956-8181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA12666 (TX)

Record details

NPI number1366835068
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 5, 2015
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Arlington Neurosurgeons, Pllc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Flower Mound