Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Braelen Dawn Ivicevich, PA-C

Individual provider Surgical Physician Assistant · NPI 1568834893

MS. Braelen Dawn Ivicevich, PA-C is a Physician Assistant in Houston, Texas. Qualified in 2015, 11 years ago. Practices with Tmh Physicians and Surgeons, PLLC, a 29-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
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

6560 Fannin Scurlock Tower Ste 2200
Houston, TX 77030
Phone: (281) 737-4560
Fax: (281) 737-4561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (TX)

Record details

NPI number1568834893
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 26, 2015
Last updated in NPPESOctober 7, 2021
Certification dateOctober 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Tmh Physicians And Surgeons, Pllc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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