Bonita L Brockman is a Pediatrics in Atlanta, Georgia. Bonita L Brockman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Bonita L Brockman is 1962443515. The last update date is 2007-07-08.
Bonita L Brockman's current location address is 361 Nelms Ave, Atlanta, Georgia. You can contact this provider via phone number 4048227712. The mailing address for Bonita L Brockman is 361 Nelms Ave, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonita L Brockman |
|---|---|
| Address | 361 Nelms Ave, Atlanta, Georgia |
| Phone Number | 4048227712 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962443515 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 361 Nelms Ave |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 30307 |
| Phone Number | 4048227712 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 45410 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Post Comment/ Review Below
What is the unique identifier code issued to Bonita L Brockman by the Centers for Medicare & Medicaid Services (CMS)?
The Bonita L Brockman has been assigned the NPI (National Provider Identifier) 1962443515. 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 Bonita L Brockman is located?
The Bonita L Brockman is situated at the following address: 361 Nelms Ave, Atlanta, GA, 30307.
What is Bonita L Brockman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bonita L Brockman is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962443515 to Bonita L Brockman?
The Centers for Medicare & Medicaid Services originally issued the 1962443515 to Bonita L Brockman on 2006-06-08.
As of what date were the details pertaining to Bonita L Brockman last refreshed?
The information related to the Bonita L Brockman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.