Registry record
- NPI
- 1083657480
- Profession
- Physician Assistant (PA)
- Specialty
- Medical Physician Assistant (363AM0700X)
- Practice address
- 2010 Nine Road, Rehab. Center Frontera Healthcare Network, Inc.
Brady, TX 76825 - Phone
- 3255970102
- In the registry since
- June 14, 2006
- Last NPPES update
- May 9, 2013
- Sole proprietor
- No
- License
- PA04795 (TX)
At this location
This location lists no other NP or PA providers in our current data.
In context
The NPI number of Tracy Penn is 1083657480. They are a Medical Physician Assistant in Brady, Texas.
Tracy Penn is the only Medical Physician Assistant in Brady in our data, and one of 2,844 across Texas.
The NPI has been in the federal registry for 20 years, since June 14, 2006.
Frequently asked questions
What is NPI 1083657480?
NPI 1083657480 is the 10-digit National Provider Identifier assigned to Tracy Penn, a Medical Physician Assistant practicing in Brady, Texas. The record has been in the NPPES registry since June 14, 2006.
How do I verify this provider?
Cross-check NPI 1083657480 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA04795 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as May 9, 2013. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.