RICKY BROCKBERG NPI 1235631052

NPI Information

  • NPI: 1235631052
  • Provider Name: RICKY BROCKBERG
  • Classification: Secured Medical Transport (VAN) - 343800000X
  • Entity Type: Individual
  • Address: 931 MADISON AVE STE 203
    MANKATO, MN
    ZIP 56001
  • Phone: (507) 344-8900

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NPI Details

Ricky Brockberg is a secured medical transport van in Mankato, MN. The provider is a public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse. Ricky Brockberg NPI is 1235631052. 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:

931 MADISON AVE STE 203
MANKATO, MN
ZIP 56001-995
Phone: (507) 344-8900
Fax: (866) 920-6333

The enumeration date for this NPI number is 3/7/2018 and was last updated on 9/17/2021.

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
1343800000XSecured Medical Transport (VAN)382785MINNESOTAYes

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: 11/21/2025

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