George S Brockman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12130 Issued in FL

Practice address

6933 W Commercial Blvd
Suite a
Lauderhill, FL 33319-2119

Phone

(954) 724-8486

Fax

(954) 724-8415

NPI assigned

Jul 15, 2005

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luzardo Dental LLC

  • Dental Clinic/Center
  • Lauderhill, FL
  • NPI 1598361115
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982603676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6933 W COMMERCIAL BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192119",
            "telephone_number": "954-724-8486",
            "fax_number": "954-724-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6933 W COMMERCIAL BLVD",
            "address_2": "SUITE A",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192119",
            "telephone_number": "954-724-8486",
            "fax_number": "954-724-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "GEORGE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taniece La'Shay Bradford
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• Brett E Weinstein P a
• Bright Behavioral LLC
• Bronze Man Acupuncture Inc.
• Broward Community and Family Health Centers Inc
• Broward County Pain & Rehabilitation, Inc.
• Broward Fall Prevention Center
• Broward Homebound Program, Inc.

• General Practice Dentistry in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.