Brockway, Bruce Albert

Brockway, Bruce Albert is an individual health care provider with primary practice located at 3939 Medical Dr 110, San Antonio TX 78229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Brockway, Bruce Albert can be contacted via phone (210) 692-1515.

Contact Information

Primary practice address
3939 Medical Dr 110 San Antonio TX 78229
Phone: (210) 692-1515
Fax: (210) 692-0187
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X F1406 Texas

Profile Details

NPI number 1336221555
LBN Legal business name Brockway, Bruce Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336221555 NPPES
Texas Other 00GT38 BCBS OF TX

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