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JOHN CARLOS BROCKINGTON MD NPI 1548200777


NPI Information

NPI: 1548200777
Provider Name: JOHN CARLOS BROCKINGTON, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: VINCENTIAN PHYSICIAN SERVICES LLC

PECOS Registration: Yes

Address:
810 SAINT VINCENTS DR
BIRMINGHAM, AL
ZIP 35205
Phone: (205) 930-2456
Get Directions

John Carlos Brockington, MD is a neurology psychiatry neurology in Birmingham, AL with 32 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. John Carlos Brockington, MD NPI is 1548200777. 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:

810 SAINT VINCENTS DR
BIRMINGHAM, AL
ZIP 35205-601
Phone: (205) 930-2456
Fax: (205) 930-2469

The NPI 1548200777 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 6/7/2006 and was last updated on 11/19/2019.


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
12084N0400XPsychiatry & NeurologyNeurology17400ALABAMAYes

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
104970355MEDICAIDMISSISSIPPI
2051509854OTHERALABAMABLUE CROSS
3009938017MEDICAIDALABAMA
4051509855OTHERALABAMABLUE CROSS
5009901225MEDICAIDALABAMA
6051509855MEDICAIDALABAMA
7130025436OTHERALABAMARAILROAD MEDICARE

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.