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BRIAN P. BROCKER M.D. INC NPI 1134316664


NPI Information

NPI: 1134316664
Provider Name: BRIAN P. BROCKER M.D., INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1616 COVINGTON ST
YOUNGSTOWN, OH
ZIP 44510
Phone: (330) 747-9215
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BRIAN P. BROCKER M.D., INC is a specialist in Youngstown, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BRIAN P. BROCKER M.D., INC NPI is 1134316664. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1616 COVINGTON ST
YOUNGSTOWN, OH
ZIP 44510-244
Phone: (330) 747-9215
Fax: (330) 747-9248

The provider's authorized official is Brian P. Brocker .
The authorized official title is President/owner and has the following contact phone number (330) 747-9215.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 7/16/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist35-066899OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1285520215001OTHEROHIOMEDICAL MUTUAL-YNGS LOC
29282451OTHEROHIOMEDICARE-WARREN
3000000138342OTHEROHIOANTHEM
4285520215005OTHEROHIOMEDICAL MUTUAL-WARREN LOC
54597438OTHEROHIOAETNA
61507678OTHEROHIOGATEWAY
728552021500OTHEROHIOBWC PROVIDER #
80215672MEDICAIDOHIO
95310970001MEDICARE NSCOHIO
100600127OTHEROHIOUNITED HEALTHCARE
11F32772MEDICARE UPINOHIO
127405468OTHEROHIOCIGNA
13000000106032OTHEROHIOUNISON
149282452OTHEROHIOMEDICARE-YNGS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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