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

Nicky Hackenbrack

Individual provider Internal Medicine Physician · NPI 1568391670

Nicky Hackenbrack is an Internal Medicine Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2026.

Licensed in
PA
In the registry since
2026

Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (800) 836-7536
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MT236556 (PA)

Record details

NPI number1568391670
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMay 15, 2026
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026

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