Jerry Ray Brockman in Oneill - General Practice
Jerry Ray Brockman - NPI 1790863215
Jerry Ray Brockman is a General Practice in Oneill, Nebraska. Jerry Ray Brockman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerry Ray Brockman is 1790863215. The last update date is 2021-11-05.
Jerry Ray Brockman's current location address is Po Box 815, Oneill, Nebraska. You can contact this provider via phone number 4023364812 and fax number 4023364645. The mailing address for Jerry Ray Brockman is Po Box 815, Oneill, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Ray Brockman |
|---|---|
| Address | Po Box 815, Oneill, Nebraska |
| Phone Number | 4023364812 |
| Fax Number | 4023364645 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1790863215 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2021-11-05 |
Provider Mailing Address Detail
| Address | Po Box 815 |
|---|---|
| City | Oneill |
| State | Nebraska (NE) |
| Post Code | 687630815 |
| Phone Number | 4023364812 |
| Fax Number | 4023364645 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4499 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Jerry Ray Brockman by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry Ray Brockman has been assigned the NPI (National Provider Identifier) 1790863215. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Jerry Ray Brockman is located?
The Jerry Ray Brockman is situated at the following address: Po Box 815, Oneill, NE, 687630815.
What is the Jerry Ray Brockman's area of specialization and corresponding taxonomy classification?
The Jerry Ray Brockman's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790863215 to Jerry Ray Brockman?
The Centers for Medicare & Medicaid Services originally issued the 1790863215 to Jerry Ray Brockman on 2006-11-01.
When was the information regarding Jerry Ray Brockman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerry Ray Brockman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-11-05.
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