NPI 1043200488

James M Brackmann, MD

Practitioner Anesthesiology Physician Fort Wayne, IN

Practice location

Address: 5734 Coventry Ln, Fort Wayne, IN 46804-7141
Phone: (260) 436-7875
Mailing address: PO Box 633260, Cincinnati, OH 45263-3260

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 01038173 (IN)

Other Anesthesiology providers in Indiana →

Registry record

NPI: 1043200488
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2005
Record last updated: 29 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.