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

Mr. Larry Brackenbury

Individual provider Contractor · NPI 1770842700

Mr. Larry Brackenbury is a Contractor in Pine City, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

810 8th St SW
Pine City, MN 55063-2037
Phone: (320) 629-3730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1770842700
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 11, 2012
Last updated in NPPESMay 11, 2012

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