# MR. BRANDON S BRACKEEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801083613
- **Gender:** Man
- **Credential:** P.T., D.P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 07417R | LA | Yes |
| 225100000X | Physical Therapist | 1176972 | TX | Yes |
| 2251S0007X | Sports Physical Therapist | 07417R | LA | — |
| 2251S0007X | Sports Physical Therapist | 1176972 | TX | — |
| 2251X0800X | Orthopedic Physical Therapist | 07417R | LA | — |
| 2251X0800X | Orthopedic Physical Therapist | 1176972 | TX | — |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 06/01/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 191399801 | — | TX |
| 01 | — | 8T8115 | BLUE CROSS BLUE SHIELD OF TEXAS | TX |
| 01 | — | P00440642 | RAILROAD MEDICARE PIN | TX |