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BROCKMAN MED CORP NPI 1790091932


NPI Information

NPI: 1790091932
Provider Name: BROCKMAN MED CORP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
101 W ARGONNE DR
SUITE 58
KIRKWOOD, MO
ZIP 63122
Phone: (314) 498-2154
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BROCKMAN MED CORP is a family medicine in Kirkwood, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BROCKMAN MED CORP NPI is 1790091932. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 W ARGONNE DR
SUITE 58
KIRKWOOD, MO
ZIP 63122-201
Phone: (314) 498-2154

The provider's authorized official is Don L Brockman .
The authorized official title is Ceo and has the following contact phone number (314) 498-2154.

The enumeration date for this NPI number is 8/25/2010 and was last updated on 8/25/2010.


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
1207Q00000XFamily MedicineR4P98MISSOURIYes

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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