Robert J Brockman
Surgeon Vascular Surgeon
75 Baylor Dr Ste 290
Bluffton
, South Carolina 29910-8965
Robert J Brockman
Surgeon Vascular Surgeon
75 Baylor Dr Ste 290
Bluffton
, South Carolina 29910-8965
(843) 652-8399
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Robert J Brockman
- 4040 Hwy 17 Bypass Suite 202
- Murrells Inlet, SC
- Zip : 29576-4381
- Fax : (843) 652-8399
- Phone : (843) 652-8390
Second Address
- Robert J Brockman
- 75 Baylor Dr Ste 290
- Bluffton, SC
- Zip : 29910-8965
- Phone : (843) 705-8888
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 24263 | SC |
| Y | 208600000X | Surgeon | 24263 | SC |
| N | 208200000X | Surgeon | 9500519 | NC |
| N | 208600000X | Surgeon | 9500519 | NC |
| N | 2086S0129X | Vascular Surgeon | 24263 | SC |
National Provider Identifier
| NPI | 1174621767 |
|---|---|
| Provider Name | Robert J Brockman |
| First Address | Murrells Inlet, SC 29576-4381 |
| Second Address | Bluffton, SC 29910-8965 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 30/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 24263 | MEDICAL LICENSE (01) | SC |
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.