MS. MARY BROCKMAN (NPI# 1104275924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104275924 |
| Entity Type | Individual |
| Full Name | MS. MARY BROCKMAN |
| Practice Address |
5039 E 13 Mile Rd Warren MI 48092-4444 |
| Practice Telephone | 5862916716 |
| Mailing Telephone | 5862916716 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194011460 | Mary Denise Brockman | Speech-Language Pathologist | 2214 Winberie Ct, Katy, TX 77450-7691 | 2011-06-24 |
| 1790050045 | Mary Patricia Brockman | Psychologist | 644 N Carrollton Ave, New Orleans, LA 70119-4707 | 2012-03-20 |
| Street Address |
5039 E 13 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48092-4444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609400522 | Vickie Gaines | Technician, Other | 28096 Palomino Dr, Warren, MI 48093-4232 | 2020-02-29 |
| 1265982037 | Maria Fatima Agabe Harder | Technician, Other | 32615 Tecla Dr, Warren, MI 48088-6253 | 2016-10-05 |
| 1366992257 | Calandra Stuart | Technician, Other | 22130 Karam Ct, Warren, MI 48091-5216 | 2016-10-04 |
| 1366990376 | Theodora Kalfa-bremer | Technician, Other | 31723 Norrid Cir, Warren, MI 48092-5005 | 2016-09-19 |
| 1174070965 | Charlotte Johnson | Technician, Other | 113 S Lafayette Blvd, Warren, MI 48091-2208 | 2016-09-08 |
| 1497202782 | Jessica Plum | Technician, Other | 13920 Hobart Ave, Warren, MI 48089-5011 | 2016-09-05 |
| 1386190981 | Donsia Alexander | Technician, Other | 29306 Merrick Ave., Warren, MI 48092-5417 | 2016-09-01 |
| 1770037772 | Sarah Ann Anderson | Technician, Other | 27914 Sutherland Dr, Warren, MI 48088-6083 | 2016-08-08 |
| 1386198471 | Alena Bacalia | Technician, Other | 4427 Fenwick Dr, Warren, MI 48092-3019 | 2016-08-07 |
| 1316491624 | Kathryn Harris | Technician, Other | 4047 Hillcrest Dr, Warren, MI 48092-1104 | 2016-08-04 |
| Find all providers in WARREN | ||||
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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.