MR. DAVID DANIEL BROCKMAN PA NPI 1669643052

NPI Information

MR. David Daniel Brockman, PA is a cardiovascular disease internal medicine in Roseville, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MR. David Daniel Brockman, PA NPI is 1669643052. 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:

2 MEDICAL PLAZA DR
#175
ROSEVILLE, CA
ZIP 95661-043
Phone: (916) 782-2146
Fax: (916) 782-4299

The NPI 1669643052 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 3/13/2008.

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:

Other Identifiers

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

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