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

Rebekah June Braunlich, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1780317263

Rebekah June Braunlich, PHYSICIANASSISTANT is a Physician Assistant in Fulton, New York. Qualified in 2023, 3 years ago. Practices with Port City Emergency Physicians LLP, a 48-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2022
Specialties on file
3

Practice location Address checks out

510 S 4th St
Fulton, NY 13069-2951
Phone: (315) 592-3510
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 030802 (NY)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780317263
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedJuly 2, 2022
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Port City Emergency Physicians Llp — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fulton