Brian P. Brocker M.D., Inc
LBN: Brian P. Brocker M.D., Inc
Brian P. Brocker M.D., Inc is an health care organization with primary practice located at 1616 Covington St , Youngstown OH 44510-1244. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Brian P. Brocker M.D., Inc can be contacted via phone (330) 747-9215, or through Brocker, Brian P. via phone (330) 747-9215.
Contact Information
Primary practice address
1616 Covington St
Youngstown OH 44510-1244
Phone: (330) 747-9215
Fax: (330) 747-9248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35-066899 | Ohio |
Profile Details
| NPI number | 1134316664 |
|---|---|
| LBN Legal business name | Brian P. Brocker M.D., Inc |
| DBA Doing business as | |
| Authorized official | Brocker, Brian P. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2007 |
| Last updated | Jul 16th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134316664 | NPPES |
| Ohio | Other | 7405468 | CIGNA |
| Ohio | Other | 9282452 | CIGNA |
| Ohio | Other | 4597438 | CIGNA |
| Ohio | Other | 0600127 | CIGNA |
| Ohio | Other | 285520215005 | CIGNA |
| Ohio | Other | 285520215001 | CIGNA |
| Ohio | Other | 000000138342 | CIGNA |
| Ohio | MEDICAID | 0215672 | CIGNA |
| Ohio | Other | 1507678 | CIGNA |
| Ohio | Other | 28552021500 | CIGNA |
| Ohio | Other | 000000106032 | CIGNA |
| Ohio | Other | 9282451 | CIGNA |
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