Tracy Lee Brockman in Modesto - Family Medicine
Tracy Lee Brockman - NPI 1871553636
Tracy Lee Brockman is a Family Medicine in Modesto, California. Tracy Lee Brockman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tracy Lee Brockman is 1871553636. The last update date is 2016-03-11.
Tracy Lee Brockman's current location address is 1320 Celeste Dr, Modesto, California. You can contact this provider via phone number 2095276900 and fax number 2095247328. The mailing address for Tracy Lee Brockman is 1320 Celeste Dr, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Lee Brockman |
|---|---|
| Address | 1320 Celeste Dr, Modesto, California |
| Phone Number | 2095276900 |
| Fax Number | 2095247328 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1871553636 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2016-03-11 |
Provider Mailing Address Detail
| Address | 1320 Celeste Dr |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953552402 |
| Phone Number | 2095276900 |
| Fax Number | 2095247328 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A87080 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique identifier code issued to Tracy Lee Brockman by the Centers for Medicare & Medicaid Services (CMS)?
The Tracy Lee Brockman has been assigned the NPI (National Provider Identifier) 1871553636. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Tracy Lee Brockman is physically located?
The Tracy Lee Brockman is situated at the following address: 1320 Celeste Dr, Modesto, CA 953552402.
What is Tracy Lee Brockman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tracy Lee Brockman is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Tracy Lee Brockman receive its 1871553636 assignment from the Centers for Medicare & Medicaid Services?
The Tracy Lee Brockman was assigned its 1871553636 by the Centers for Medicare & Medicaid Services on 2006-03-24.
As of what date was the information pertaining to Tracy Lee Brockman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tracy Lee Brockman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-03-11.