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ROBERT BROCKMAN MD NPI 1437115722


NPI Information

NPI: 1437115722
Provider Name: ROBERT BROCKMAN, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
375 N WALL ST
SUITE P640
KANKAKEE, IL
ZIP 60901
Phone: (815) 932-0911
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Robert Brockman, MD is a surgery in Kankakee, IL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Robert Brockman, MD NPI is 1437115722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

375 N WALL ST
SUITE P640
KANKAKEE, IL
ZIP 60901-483
Phone: (815) 932-0911

The enumeration date for this NPI number is 4/25/2006 and was last updated on 7/8/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14615036OTHERILLINOISBCBS PROVIDER ID
2K04919MEDICARE ID-TYPE UNSPECIFIEDILLINOISLOCALITY 099
3E42120MEDICARE UPINILLINOIS

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: 5/5/2024

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