DAVID L BROCKMAN (NPI# 1487644944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487644944 |
Entity Type | Individual |
Full Name | DAVID L BROCKMAN |
Credential | DDS,MS |
Practice Address |
5945 S 56th St Suite 100 Lincoln NE 68516-3394 |
Practice Telephone | 4024202400 |
Practice Fax Number | 4024202418 |
Mailing Telephone | 4024202400 |
Mailing Fax Number | 4024202418 |
Enumeration Date | 2005-10-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
5766 | NE | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | DELTA PROVIDER NUMBER | 40694 | 01 |
NE | BLUE CROSS PROVIDER NUMBE | 05286 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114016797 | David Dean Brockman Sr. | Psychologist | 1020 Kenilworth Ln, Glenview, IL 60025-1918 | 2006-10-12 |
1801902531 | David Falls Brockman | Dentist | 113 Kennedy Dr Ste 2, Martin, TN 38237-3344 | 2006-08-23 |
1669643052 | David Daniel Brockman | Internal Medicine | 2 Medical Plaza Dr, #175, Roseville, CA 95661-3043 | 2008-03-13 |
1013961929 | David J Brockman | Physical Medicine & Rehabilitation | 53760 Generations Dr, South Bend, IN 46635-1539 | 2006-05-22 |
Street Address |
5945 S 56TH ST SUITE 100 |
City | LINCOLN |
State | NE |
Zip Code | 68516-3394 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679878375 | Family Psychological Services, Inc. | Psychologist | 5945 S 56th St, Ste 101, Lincoln, NE 68516-3394 | 2011-01-11 |
1225182520 | Lisa Renee Blankenau | Psychologist | 5945 S 56th St, Suite 101, Lincoln, NE 68516-3394 | 2007-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
Find all providers in zip 68516 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215326558 | Bronsen Schliep | Dentist | 3100 O St Ste 1, Lincoln, NE 68510-1532 | 2015-01-09 |
1912282880 | Fouy Kok Chau | Dentist | 4605 Holdrege St, Apt 1, Lincoln, NE 68503 | 2011-10-11 |
1083865877 | Paul John Rallis | Dentist | 3256 Salt Creek Cir., Lincoln, NE 68504 | 2008-10-10 |
1679768949 | Brian Christopher Crawford | Dentist | 2295 Fieldstone Dr Ste 260, Lincoln, CA 95648-8810 | 2007-09-10 |
1114042736 | Paula L. Harre | Dentist | 6825 S 27th St Ste 202, Lincoln, NE 68512-4872 | 2007-03-20 |
1659406312 | Bernard Steinberg | Dentist | 1940 Farmgate Ln, Lincoln, CA 95648-8600 | 2007-02-22 |
1821170440 | Rebecca Hecox Hohl | Dentist | 5700 Thompson Creek Blvd, Suite 1, Lincoln, NE 68516-6579 | 2006-10-20 |
1972683704 | W James Wilmert | Dentist | 113 Pine St, Lincoln, IL 62656-2661 | 2006-10-16 |
1154338853 | Robert A Schoettger | Dentist | 8000 S 13th St, Lincoln, NE 68512-9371 | 2006-08-02 |
1336794817 | Lynna Van Merkey | Dentist | 4000 E Campus Loop S, Lincoln, NE 68583-1530 | 2019-08-01 |
Find all providers in LINCOLN |
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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.