Brockwell, Russell C
Brockwell, Russell C is an individual health care provider with primary practice located at 2950 Cleveland Clinic Blvd , Weston FL 33331-3625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Brockwell, Russell C can be contacted via phone (954) 659-5000.Contact Information
Primary practice address
2950 Cleveland Clinic Blvd
Weston FL 33331-3625
Phone: (954) 659-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME98102 | Florida |
Profile Details
| NPI number | 1578503785 |
|---|---|
| LBN Legal business name | Brockwell, Russell C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Dec 21st, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578503785 | NPPES |
| Alabama | Other | 000007602 | BLUE CROSS |
| Alabama | MEDICAID | 009916165 | BLUE CROSS |
| Alabama | MEDICAID | 009916175 | BLUE CROSS |
| Alabama | Other | 06857292 | BLUE CROSS |
| Alabama | Other | 42512 | BLUE CROSS |
| Alabama | Other | 000007604 | BLUE CROSS |
| Alabama | Other | 000007609 | BLUE CROSS |
| Alabama | Other | 050065291 | BLUE CROSS |
| Alabama | MEDICAID | 000007609 | BLUE CROSS |
| Alabama | Other | 010033CG86101 | BLUE CROSS |
| Alabama | Other | G86101 | BLUE CROSS |
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