Brockman Med Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R4P98 Issued in MO

Legal business name

BROCKMAN MED CORP

Practice address

101 W Argonne Dr
Suite 58
Kirkwood, MO 63122-4201

Phone

(314) 498-2154

NPI assigned

Aug 25, 2010

Last updated

Aug 25, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Don L BrockmanNPI 1356384242

Title

Ceo

Phone

(314) 498-2154

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Don L Brockman, MD

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1356384242
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1790091932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W ARGONNE DR",
            "address_2": "SUITE 58",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W ARGONNE DR",
            "address_2": "SUITE 58",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224201",
            "telephone_number": "314-498-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKMAN MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-498-2154"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R4P98",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca M Brandsted, MD
• Julia Brandt, RD/LDN
• Erica Leigh Branz, MS, RD, LD
• Skylar Brennan, CTRS
• Kacey M Bright, DPT
• Katherine Gorton Brown, AU.D.
• Anne Brubaker, MSW, LCSW
• Laura Elena Bruen, LPC
• Michelle Marie Brungart, DC
• Bruno Pain & Performance Solutions LC

• Family Medicine Physician in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.