Individual provider Active NPI

George G Brackin, M.D.

  • Diagnostic Radiology Physician
  • Doylestown, PA
National Provider Identifier
1811985500
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD013255E Issued in PA
Practice address
595 W State St
Doylestown, PA 18901-2554
Phone
(215) 345-2290
Fax
(215) 345-2596
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD013255E PA Primary

Addresses

Primary practice location

595 W State St
Doylestown, PA 18901-2554

Mailing address

227 Laurel Rd
Suite300
Voorhees, NJ 08043-8303
Phone (856) 770-3044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, MD, CT, ME, NC, VA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20041005001019 PA Practitioner - Diagnostic Radiology 5092794222 Reassigns benefits to 3 organizations
I20090408000522 NJ Practitioner - Diagnostic Radiology 5092794222 Reassigns benefits to 3 organizations
I20110323000818 MD Practitioner - Diagnostic Radiology 5092794222 Reassigns benefits to 3 organizations
I20110523000772 CT Practitioner - Diagnostic Radiology 5092794222 Reassigns benefits to 1 organization
I20230427002650 ME Practitioner - Diagnostic Radiology 5092794222 Reassigns benefits to 1 organization
I20230510000097 NC Practitioner - Diagnostic Radiology 5092794222 Reassigns benefits to 3 organizations
I20250909001506 VA Practitioner - Diagnostic Radiology 5092794222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kan-Di-Ki LLCGroup PAC ID 5991737140, 38 clinicians

Practice addresses (Care Compare)

115 Gibraltar Rd
Horsham, PA 19044-2303
Phone (800) 786-8015

Merit-based Incentive Payment System (MIPS)

Final score
66.41 of 100Reported as group
Quality
30.12
Promoting interoperability
80
Improvement activities
40
Cost
57.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sheppard Pratt Physicians, P.a. CurrentSince Apr 16, 2012 Accepting new patients
Parlee & Tatem Radiologic Associates, LTD. Diagnostic Radiology PastSince Sep 8, 2024 Accepting new patients

Locations

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811985500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 LAUREL RD",
            "address_2": "SUITE300",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080438303",
            "telephone_number": "856-770-3044",
            "fax_number": "856-770-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W STATE ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012554",
            "telephone_number": "215-345-2290",
            "fax_number": "215-345-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKIN",
        "first_name": "GEORGE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD013255E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.