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

Robert Nolan Brackenrich, DO

Individual provider Family Medicine Physician · NPI 1215559687

Robert Nolan Brackenrich, DO is a Family Practice in Pooler, Georgia. Qualified in 2020, 6 years ago. Practices with Sjc Medical Group Inc, a 57-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

101 Saint Josephs Candler Dr Ste 200
Pooler, GA 31322-9585
Phone: (912) 748-1999
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 97632 (GA)

Record details

NPI number1215559687
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 8, 2020
Last updated in NPPESOctober 20, 2023
Certification dateAugust 23, 2023
Mailing address101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322-9585

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sjc Medical Group Inc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pooler