ROSS BROCKMAN D.O. NPI 1568842185

NPI Information

NPI: 1568842185
Provider Name: ROSS BROCKMAN, D.O.
Classification: Dermatology - 207NP0225X
Entity Type: Individual

Specialization: Pediatric Dermatology

PECOS Registration: Yes

Address:
1703 S MERIDIAN STE 101
PUYALLUP, WA
ZIP 98371
Phone: (253) 848-3000
Get Directions

Ross Brockman, D.O. is a pediatric dermatology dermatology in Puyallup, WA with 9 years of experience. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. Ross Brockman, D.O. NPI is 1568842185. 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:

1703 S MERIDIAN STE 101
PUYALLUP, WA
ZIP 98371-590
Phone: (253) 848-3000

The NPI 1568842185 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 6/9/2015 and was last updated on 12/1/2022.

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
1	208000000X	Pediatrics		R-10324	IOWA	No
2	207NP0225X	Dermatology	Pediatric Dermatology	OP61156882	WASHINGTON	Yes

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

NPI Synchronization or Removal

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