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

Last updated

Jul 8, 2007By the provider in NPPES

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

Practice roles

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

• Luzardo Dental LLC

  dba My Tamarac Dentist

  • 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": []
}

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• Brett E Weinstein P a
• Bright Behavioral LLC
• Bronze Man Acupuncture Inc.
• Broward Community and Family Health Centers Inc (Central BrowardCommunity Health Center)
• 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.