Elyse Lynn Brack, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07970 Issued in TX

Practice address

4 Bayou Brandt
Beaumont, TX 77706-2612

Phone

(409) 600-2003

Fax

(832) 753-7548

NPI assigned

Aug 10, 2012

Last updated

Jul 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Elyse Lynn Dobrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00012

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

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  • NPI 1265030456
  NPD

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1235486036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD STE 225",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014532",
            "telephone_number": "832-753-7546",
            "fax_number": "832-753-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BAYOU BRANDT",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062612",
            "telephone_number": "409-600-2003",
            "fax_number": "832-753-7548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4747 Bellaire Blvd Ste 225",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774014532",
            "country_code": "US",
            "telephone_number": "832-753-7546",
            "fax_number": "832-753-7548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1108 Marvin Hancock Dr",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TX",
            "postal_code": "75951",
            "country_code": "US",
            "telephone_number": "409-600-2003",
            "fax_number": "832-753-7548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACK",
        "first_name": "ELYSE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSE",
            "last_name": "DOBRICK",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Bowie
• James R. Bowling, D.O.
• Amberly Renee Bowman, LPC
• Haley Bowman, OTR
• Tracy Lynn Bowman, OTR
• Corrie Brackin, OTR
• Wallace Earl Bradford, PHARMACIST
• Amanda Bradley
• Justin Bradley
• Kristen Bradley, APRN, AGACNP-BC,RNFA

• Physician Assistant in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.