DR. CHAD BROCKARDT (NPI# 1063618858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063618858 |
| Entity Type | Individual |
| Full Name | DR. CHAD BROCKARDT |
| Credential | M.D. |
| Practice Address |
7000 Boulder Ave Highland CA 92346-3348 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9098621191 |
| Mailing Telephone | 9093354188 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2017-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A105664 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
7000 BOULDER AVE |
| City | HIGHLAND |
| State | CA |
| Zip Code | 92346-3348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568412567 | Hin Wah Lee | Internal Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-05-11 |
| 1932757374 | Roger Rosewitz | Nurse Practitioner | 7000 Boulder Ave, Highland, CA 92346-3348 | 2019-08-29 |
| 1003383480 | Andrew Tyler | Orthopaedic Surgery | 7000 Boulder Ave, Highland, CA 92346-3348 | 2018-10-24 |
| 1306330444 | Charlene De Grassi | Nurse Practitioner | 7000 Boulder Ave, Highland, CA 92346 | 2018-06-21 |
| 1366812786 | Timothy Thue | Physician Assistant | 7000 Boulder Ave, Highland, CA 92346-3348 | 2015-09-28 |
| 1598196255 | Thaung Myat Aung | Internal Medicine | 7000 Boulder Ave, Highland, CA 92346 | 2013-12-06 |
| 1013353218 | Raymond Sedgh | Family Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2013-05-14 |
| 1730524067 | Michael Joseph Mcneill | Family Medicine | 7000 Boulder Ave, Highland, CA 92346 | 2013-04-30 |
| 1407142201 | Mohamed Sami Elsharif | Psychiatry & Neurology | 7000 Boulder Ave, Highland, CA 92346-3348 | 2011-06-21 |
| 1427341577 | Ankona Ghosh | Otolaryngology | 7000 Boulder Ave, Highland, CA 92346-3348 | 2011-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101830 | First Choice Transport Services LLC | Non-emergency Medical Transport (VAN) | 7538 Bonita Dr, Highland, CA 92346 | 2020-10-13 |
| 1578031597 | Highland Optometrics | Optometrist | 7291 Boulder Avenue Suite #2d, Highland, CA 92346 | 2018-11-07 |
| 1972098218 | Hlh Wellness | Health Educator | 7758 Merlin Way, Highland, CA 92346 | 2018-06-28 |
| 1871088385 | Alexandria Ramirez | Behavioral Analyst | 7566 Rock Crest Lane, Highland, CA 92346 | 2018-06-27 |
| 1942708383 | Sarah Kristine Alcaide Young | Nurse Practitioner | 7223 Church St Ste C, Highland, CA 92346 | 2018-01-31 |
| 1861914251 | Brianna Rose Delpilar | Pharmacist | 2692 Highland Ave., Spc. 20, Highland, CA 92346 | 2017-07-07 |
| 1811440894 | Nancy Elizabeth Clark | Counselor | 29157 Stonegate Lane, Highland, CA 92346 | 2016-07-26 |
| 1952771529 | Michael Woosley | Physical Therapy Assistant | 29176 Whitegate Ln., Hihgland, CA 92346 | 2015-09-25 |
| 1326422940 | Lawryn Ask Monterroso | Dentist | 7216 Palm Avenue Suit B, Highland, CA 92346 | 2015-07-14 |
| 1073908315 | Empacare Homecare | Hospice, Inpatient | 7231 Boulder Ave., Ste 197, Highland, CA 92346 | 2015-04-03 |
| Find all providers in zip 92346 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073700449 | Midwest Bone & Joint Surgery PC | Orthopaedic Surgery | 30 Apex Drive, Suite #1, Highland, IL 62249-1285 | 2007-10-01 |
| 1003383480 | Andrew Tyler | Orthopaedic Surgery | 7000 Boulder Ave, Highland, CA 92346-3348 | 2018-10-24 |
| 1740515964 | Ihc Health Services Inc | Orthopaedic Surgery | 10968 N Alpine Hwy, Highland, UT 84003-8874 | 2009-10-06 |
| 1225209885 | Excel Care Orthopedics, Inc. | Orthopaedic Surgery | 1212 Broadway, Highland, IL 62249-1960 | 2008-03-21 |
| 1417128067 | Excel Care Orthopedics, Inc. | Orthopaedic Surgery | 1520 9th St, Suite 250, Highland, IL 62249-1677 | 2008-03-21 |
| 1669568754 | Felix Flores Ungacta | Orthopaedic Surgery | 30 Apex Dr, Suite #1, Highland, IL 62249-1285 | 2006-10-05 |
| 1023047438 | Michael J Coen | Orthopaedic Surgery | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-06-30 |
| 1538108337 | Owen R Mcivor | Orthopaedic Surgery | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-06-06 |
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|---|---|---|---|---|
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| 1376142067 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4500 Brockton Ave Ste 306, Riverside, CA 92501-4027 | 2020-10-22 |
| 1699372326 | Adventist Health Physicians Network | Orthopaedic Surgery | 84 Madrone St Ste A, Willits, CA 95490-4249 | 2020-10-06 |
| 1982215992 | Roshan T Melvani Md Inc | Orthopaedic Surgery | 12677 Hesperia Rd Ste 140, Victorville, CA 92395-7735 | 2020-08-13 |
| 1164033684 | First Care Multispecialty Medical Group, Inc. | Orthopaedic Surgery | 4401 Atlantic Ave Ste 480, Long Beach, CA 90807-2265 | 2020-08-10 |
| 1194343855 | Orthopaedic Group of Orange County | Orthopaedic Surgery | 1200 N Tustin Ave Ste 250, Santa Ana, CA 92705-3596 | 2020-07-09 |
| 1497372536 | Kaley Brown Surgical Pa | Orthopaedic Surgery | 360 Tom Mcguinness Jr Cir, Fallbrook, CA 92028-2623 | 2020-07-05 |
| 1982220612 | Advanced Orthopaedic Surgeons At Long Beach, Inc | Orthopaedic Surgery | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-06-18 |
| 1982227609 | Sun Medical Group Huntington, Inc | Orthopaedic Surgery | 7801 Center Ave Ste 203, Huntington Beach, CA 92647-9118 | 2020-05-28 |
| 1932722733 | Julian Hakim Baloyan | Orthopaedic Surgery | 333 H St Ste 5000503, Chula Vista, CA 91910-5555 | 2020-05-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.