Justin Clark Brockbank
Pediatric Pulmonologist
1250 E Marshall St Pediatrics
Richmond
, Virginia 23298-5051
Justin Clark Brockbank
Pediatric Pulmonologist
1250 E Marshall St Pediatrics
Richmond
, Virginia 23298-5051
(804) 342-7619
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About
Features
Specialties
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Justin Clark Brockbank
- Po Box 91734
- Richmond, VA
- Zip : 23291-1734
- Fax : (804) 342-7619
- Phone : (804) 358-6100
Second Address
- Justin Clark Brockbank
- 1250 E Marshall St Pediatrics
- Richmond, VA
- Zip : 23298-5051
- Fax : (804) 828-2983
- Phone : (804) 828-2982
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0214X | Pediatric Pulmonologist | 0101243493 | VA |
National Provider Identifier
| NPI | 1396954699 |
|---|---|
| Provider Name | Justin Clark Brockbank |
| First Address | Richmond, VA 23291-1734 |
| Second Address | Richmond, VA 23298-5051 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2007 |
| Last Update Date | 17/08/2015 |
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.