Brocker, Jason Anthony

Brocker, Jason Anthony is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Brocker, Jason Anthony can be contacted via phone (617) 724-4133.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2621
Phone: (617) 724-4133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X N0661 Texas
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 2015021905 Missouri
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD458636 Pennsylvania
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X D76238 Maryland
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X N0661 Texas
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X D76238 Maryland

Profile Details

NPI number 1952564395
LBN Legal business name Brocker, Jason Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated Jul 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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