Jason Kelly Brockway in Kilgore - Family Medicine
Jason Kelly Brockway - NPI 1043283823
Jason Kelly Brockway is a Family Medicine in Kilgore, Texas. Jason Kelly Brockway practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jason Kelly Brockway is 1043283823. The last update date is 2023-09-29.
Jason Kelly Brockway's current location address is 1718 S Henderson Blvd, Kilgore, Texas. You can contact this provider via phone number 9039832110. The mailing address for Jason Kelly Brockway is 1718 S Henderson Blvd, Kilgore, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jason Kelly Brockway |
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Address | 1718 S Henderson Blvd, Kilgore, Texas |
Phone Number | 9039832110 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1043283823 |
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Provider Enumeration Date | 2006-02-10 |
Last Updated Date | 2023-09-29 |
Provider Mailing Address Detail
Address | 1718 S Henderson Blvd |
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City | Kilgore |
State | Texas (TX) |
Post Code | 756623566 |
Phone Number | 9039832110 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | K0427 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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113244103 | TX | -- | |
752616977017 | TX | TRICARE | |
752616977017 | TX | TRICARE CHAMPUS | |
87581G | TX | BCBS OF TEXAS | |
113244106 | TX | -- | |
81026902 | TX | -- | |
117311 | TX | CHIPS | |
117311 | TX | SUPERIOR CHIPS | |
5411635 | TX | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jason Kelly Brockway by the Centers for Medicare & Medicaid Services?
The Jason Kelly Brockway has been assigned the NPI (National Provider Identifier) 1043283823 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jason Kelly Brockway?
The Jason Kelly Brockway is physically situated at 1718 S Henderson Blvd, in the city of Kilgore, state of TX, with the postal code 756623566.
What is Jason Kelly Brockway's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jason Kelly Brockway is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Jason Kelly Brockway receive the assignment of its 1043283823 from the Centers for Medicare & Medicaid Services?
The Jason Kelly Brockway was issued its 1043283823 by the Centers for Medicare & Medicaid Services on 2006-02-10.
As of what date was the information regarding Jason Kelly Brockway, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jason Kelly Brockway, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-29.
NPI Number: 1194728337
Address: 5430 Fredericksburg Rd, San Antonio, TX