Registry record
- NPI
- 1366835068
- Profession
- Physician Assistant (PA)
- Specialty
- Physician Assistant (363A00000X)
- Practice address
- 4370 Medical Arts Dr Ste 230
Flower Mound, TX 75028 - Phone
- 9729568181
- In the registry since
- March 5, 2015
- Last NPPES update
- December 7, 2021
- Sole proprietor
- No
- License
- PA12666 (TX)
At this location
This location lists no other NP or PA providers in our current data.
In context
The NPI number of Jeremiah Brack is 1366835068. They are a Physician Assistant in Flower Mound, Texas.
Jeremiah Brack is one of 45 Physician Assistants in Flower Mound and one of 11,405 across Texas in our data.
The NPI has been in the federal registry for 11 years, since March 5, 2015.
Frequently asked questions
What is NPI 1366835068?
NPI 1366835068 is the 10-digit National Provider Identifier assigned to Jeremiah Brack, a Physician Assistant practicing in Flower Mound, Texas. The record has been in the NPPES registry since March 5, 2015.
How do I verify this provider?
Cross-check NPI 1366835068 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA12666 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 December 7, 2021. 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.