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

Mrs. Elyse Lynn Brack, PA-C

Individual provider Physician Assistant · NPI 1235486036

Mrs. Elyse Lynn Brack, PA-C is a Physician Assistant in Beaumont, Texas. Qualified in 2012, 14 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4 Bayou Brandt
Beaumont, TX 77706-2612
Phone: (409) 600-2003
Fax: (832) 753-7548
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4747 Bellaire Blvd Ste 225, Bellaire, TX 77401-4532 — (832) 753-7546
  • 1108 Marvin Hancock Dr, Jasper, TX 75951 — (409) 600-2003

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA07970 (TX)

Record details

NPI number1235486036
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 10, 2012
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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