Carlos Brockman, BC HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HAD1292 Issued in AZ

Practice address

8751 N 51St Ave
Ste 109
Glendale, AZ 85302-4943

Phone

(623) 915-5568

Fax

(623) 915-5641

NPI assigned

Dec 16, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1801251970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHUMAN BLVD",
            "address_2": "STE 401",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638458",
            "telephone_number": "630-303-5380",
            "fax_number": "978-313-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 N 51ST AVE",
            "address_2": "STE 109",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024943",
            "telephone_number": "623-915-5568",
            "fax_number": "623-915-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "CARLOS",
        "credential": "BC HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-16",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "HAD1292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Broberg, RPH
• Anthony R Brock, D.M.D
• Austin Michael Brock, DMD
• Danielle Brock, PHARMD
• Myles Brockelman
• Jacob Brockmann, PA-C
• Dina Brodfuehrer
• Nancy Brodkin
• Julie Brooker, FP
• Nadine Brooks, FNP-BC

• Hearing Instrument Specialist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Hearing Instrument Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.