Dr. David J Brockman
Physical Medicine & Rehabilitation Doctor
53760 Generations Dr
South Bend
, Indiana 46635-1539
Dr. David J Brockman
Physical Medicine & Rehabilitation Doctor
53760 Generations Dr
South Bend
, Indiana 46635-1539
(574) 243-5555
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. David J Brockman
- 53760 Generations Dr
- South Bend, IN
- Zip : 46635-1539
- Fax : (574) 243-5555
- Phone : (574) 247-4444
Second Address
- Dr. David J Brockman
- 53760 Generations Dr
- South Bend, IN
- Zip : 46635-1539
- Fax : (574) 243-5555
- Phone : (574) 247-4444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 01040664A | IN |
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301060697 | MI |
National Provider Identifier
| NPI | 1013961929 |
|---|---|
| Provider Name | Dr. David J Brockman |
| First Address | South Bend, IN 46635-1539 |
| Second Address | South Bend, IN 46635-1539 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2006 |
| Last Update Date | 22/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10093210 | (05) | IN |
| E82484 | (02) | |
| M87690002 | MEDICARE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.