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ROBERT J. BROCKER M.D. INC. NPI 1376730838


NPI Information

NPI: 1376730838
Provider Name: ROBERT J. BROCKER M.D., INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1616 COVINGTON ST
YOUNGSTOWN, OH
ZIP 44510
Phone: (330) 747-9215
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ROBERT J. BROCKER M.D., INC. is a specialist in Youngstown, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ROBERT J. BROCKER M.D., INC. NPI is 1376730838. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1616 COVINGTON ST
YOUNGSTOWN, OH
ZIP 44510-244
Phone: (330) 747-9215
Fax: (330) 747-9248

The provider's authorized official is Linda J Eisenbraun .
The authorized official title is Office Manager and has the following contact phone number (330) 747-9215.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 2/22/2013.


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
1174400000XSpecialist35-053079OHIOYes

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
1285520211009OTHEROHIOMEDICAL MUTUAL-WARREN OFF
2A16621MEDICARE UPINOHIO
3000000323539OTHEROHIOANTHEM
41538350OTHEROHIOGATEWAY
5285520211008OTHEROHIOMEDICAL MUTUAL-YNGS OFF
60640453MEDICAIDOHIO
76040800001MEDICARE NSCOHIO
8000000150690OTHEROHIOUNISON
94127012OTHEROHIOAETNA
109340971OTHEROHIOMEDICARE-YNGS
119340972OTHEROHIOMEDICARE-WARREN
12285520211-00OTHEROHIOBWC

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: 4/28/2024

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