Jason P Brokaw is a Pain Medicine in Baltimore, Maryland. Jason P Brokaw practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Jason P Brokaw is 1033107941. The last update date is 2020-06-06.
Jason P Brokaw's current location address is 2700 Quarry Lake Drive, Baltimore, Maryland. You can contact this provider via phone number 4103778900 and fax number 4103773156. The mailing address for Jason P Brokaw is 2700 Quarry Lake Drive, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason P Brokaw |
|---|---|
| Address | 2700 Quarry Lake Drive, Baltimore, Maryland |
| Phone Number | 4103778900 |
| Fax Number | 4103773156 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033107941 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2020-06-06 |
Provider Mailing Address Detail
| Address | 2700 Quarry Lake Drive |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212093746 |
| Phone Number | 4103778900 |
| Fax Number | 4103773156 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 2081P2900X |
| Licence No | D61663 |
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Definition: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated wit |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 405740600 | MD | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jason P Brokaw?
The Jason P Brokaw has been issued the NPI (National Provider Identifier) 1033107941 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 Jason P Brokaw is physically located?
The Jason P Brokaw is physically situated at the following address: 2700 Quarry Lake Drive, Baltimore, MD, 212093746.
What is the area of specialization for Jason P Brokaw, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jason P Brokaw is Pain Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2081P2900X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033107941 to Jason P Brokaw?
The Jason P Brokaw received its 1033107941 assignment from the Centers for Medicare & Medicaid Services on 2005-10-13.
When was the information pertaining to Jason P Brokaw most recently updated or revised?
The details related to Jason P Brokaw, including its address, specialty, and other relevant information, were last updated or revised on 2020-06-06.