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DEAN M BROCKMOLE MD NPI 1215920707


NPI Information

NPI: 1215920707
Provider Name: DEAN M BROCKMOLE, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
4518 UNION DEPOSIT RD
HARRISBURG, PA
ZIP 17111
Phone: (717) 652-5840
Get Directions

Dean M Brockmole, MD is a diagnostic radiology radiology in Harrisburg, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Dean M Brockmole, MD NPI is 1215920707. 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:

4518 UNION DEPOSIT RD
HARRISBURG, PA
ZIP 17111-921
Phone: (717) 652-5840
Fax: (717) 652-8152

The enumeration date for this NPI number is 8/30/2005 and was last updated on 1/24/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyMD037953EPENNSYLVANIAYes

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
10011093380023MEDICAIDPENNSYLVANIA
20011093380022MEDICAIDPENNSYLVANIA
3511118H96MEDICARE PINPENNSYLVANIA
40011093380015MEDICAIDPENNSYLVANIA
50011093380001MEDICAIDPENNSYLVANIA
6B42315MEDICARE UPINPENNSYLVANIA
7511118EF4MEDICARE PINPENNSYLVANIA
8300057799OTHERPENNSYLVANIARAILROAD MEDICARE
90011093380020MEDICAIDPENNSYLVANIA
10511118FJDMEDICARE PINPENNSYLVANIA
11511118PQLMEDICARE PINPENNSYLVANIA
12511118NSUMEDICARE PINPENNSYLVANIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.