Individual provider Active NPI

Ikugun Brackbill

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1104521350
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007940 Issued in NY
Practice address
8414 13TH Ave
Brooklyn, NY 11228-3336
Phone
(718) 921-2962
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 007940 NY Primary

Addresses

Primary practice location

8414 13TH Ave
Brooklyn, NY 11228-3336

Mailing address

8639 16TH Ave
Brooklyn, NY 11214-3611
Phone (917) 496-2962

Other practice location 1

8639 16th Ave
Brooklyn, NY 11214-3611
Phone (917) 496-2962 ext. 16105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
028510NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shiho Health Spa PastSince Apr 9, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1104521350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8639 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143611",
            "telephone_number": "917-496-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8414 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283336",
            "telephone_number": "718-921-2962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8639 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112143611",
            "country_code": "US",
            "telephone_number": "917-496-2962 x16105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACKBILL",
        "first_name": "IKUGUN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.