Individual
GEOFFREY BRATSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 373-4000
(260) 482-4442
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
(260) 482-4440
(260) 482-4442
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002051A
IN
363A00000X
Physician Assistant
50.008510RX
OH
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
04/06/2026
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