Robert J. Brocker M.D., Inc. in Youngstown - Specialist
Robert J. Brocker M.D., Inc. - NPI 1376730838
Robert J. Brocker M.D., Inc. is a Specialist in Youngstown, Ohio. Robert J. Brocker M.D., Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Robert J. Brocker M.D., Inc. is 1376730838. The last update date is 2013-02-22.
Robert J. Brocker M.D., Inc.'s current location address is 1616 Covington St, Youngstown, Ohio. You can contact this provider via phone number 3307479215 and fax number 3307479248. The mailing address for Robert J. Brocker M.D., Inc. is 1616 Covington St, Youngstown, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Robert J. Brocker M.D., Inc. |
|---|---|
| Address | 1616 Covington St, Youngstown, Ohio |
| Phone Number | 3307479215 |
| Fax Number | 3307479248 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Eisenbraun J Linda |
| Telephone Number | 3307479215 |
NPI Number Detail
| NPI Number | 1376730838 |
|---|---|
| Provider Enumeration Date | 2007-09-28 |
| Last Updated Date | 2013-02-22 |
Provider Mailing Address Detail
| Address | 1616 Covington St |
|---|---|
| City | Youngstown |
| State | Ohio (OH) |
| Post Code | 445101244 |
| Phone Number | 3307479215 |
| Fax Number | 3307479248 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 35-053079 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150690 | OH | UNISON | |
| 285520211008 | OH | MEDICAL MUTUAL-YNGS OFF | |
| 640453 | OH | -- | |
| 285520211-00 | OH | BWC | |
| 9340971 | OH | MEDICARE-YNGS | |
| 323539 | OH | ANTHEM | |
| 1538350 | OH | GATEWAY | |
| 4127012 | OH | AETNA | |
| 285520211009 | OH | MEDICAL MUTUAL-WARREN OFF | |
| 9340972 | OH | MEDICARE-WARREN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Robert J. Brocker M.D., Inc.?
The Robert J. Brocker M.D., Inc. has been issued the NPI (National Provider Identifier) 1376730838 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Robert J. Brocker M.D., Inc. is physically located?
The Robert J. Brocker M.D., Inc. is physically situated at the following address: 1616 Covington St, Youngstown, OH, 445101244.
What is Robert J. Brocker M.D., Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert J. Brocker M.D., Inc.'s area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Robert J. Brocker M.D., Inc. receive its 1376730838 assignment from the Centers for Medicare & Medicaid Services?
The Robert J. Brocker M.D., Inc. was assigned its 1376730838 by the Centers for Medicare & Medicaid Services on 2007-09-28.
As of what date were the details pertaining to Robert J. Brocker M.D., Inc. last refreshed?
The information related to the Robert J. Brocker M.D., Inc., including its address, specialty, and other relevant details, was last updated on 2013-02-22.