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Deactivated NPI 1144272220 Deactivated / Inactive NPI Male Practitioner

Dr. Mark C Brackebusch , MD

Anesthesiology • Olympia, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Brackebusch has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 16, 2006
NPI Deactivation Date July 31, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Brackebusch, MD was a registered Anesthesiology practicing in Olympia, WA. Throughout an active medical career spanning 18 years, Dr. Brackebusch provided care at the practice location at 3900 CAPITOL MALL DR SW until profile deactivation on 2024-07-31.

Practice Location & Contact Primary Location

Practice Address

3900 Capitol Mall Dr Sw

Olympia, WA 985028654

Telephone 3607545858
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.5 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
44 Specialists

Practicing in Olympia, WA (1746 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License WA MD00025310

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jay Odell , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1043279375

Doctor of Medicine (M.D.)

Ngozi Achebe

Internal Medicine

NPI 1053320309
Kayla Proctor , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073442638

Certified Registered Nurse Anesthetist

Amanda Paulson , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1083828701
Dr. Cady Kennedy , MD

Emergency Medicine

NPI 1093205395

Doctor of Medicine (M.D.)

Daniel Hanson , RN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1144673682

Registered Nurse, Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 31, 2024

Record deactivated on July 31, 2024

NPI Profile Active November 20, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 20, 2007

Registered at 3900 CAPITOL MALL DR SW, OLYMPIA, WA 985028654 (Tel: 3607545858)

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Updated Business Mailing Address November 20, 2007

Registered at PO BOX 34940, SEATTLE, WA 981241940 (Tel: 5033722740)

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Provider Name / Credentials Updated November 20, 2007

Recorded as MARK BRACKEBUSCH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2007

Anesthesiology (License #MD00025310 in WA)

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Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144272220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2006
Last Update: November 20, 2007
Deactivation Date: July 31, 2024

Mailing Address

Po Box 34940

Seattle, WA 981241940

Phone: 5033722740

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.