JOHN CARLOS BROCKINGTON (NPI# 1548200777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548200777 |
| Entity Type | Individual |
| Full Name | JOHN CARLOS BROCKINGTON |
| Credential | MD |
| Practice Address |
810 Saint Vincents Dr Birmingham AL 35205-1601 |
| Practice Telephone | 2059302456 |
| Practice Fax Number | 2059302469 |
| Mailing Telephone | 2059302456 |
| Mailing Fax Number | 2059302469 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
17400 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04970355 | 05 | |
| AL | BLUE CROSS | 051509854 | 01 |
| AL | 009938017 | 05 | |
| AL | BLUE CROSS | 051509855 | 01 |
| AL | 009901225 | 05 | |
| AL | 051509855 | 05 | |
| AL | RAILROAD MEDICARE | 130025436 | 01 |
| Street Address |
810 SAINT VINCENTS DR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298999 | St. Vincent's Birmingham | General Acute Care Hospital | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2005-07-12 |
| 1861092546 | Ayshea J Henry | Registered Nurse | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-10-30 |
| 1770107005 | Randall Chiappetti | Nurse Anesthetist, Certified Registered | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-06-02 |
| 1134742653 | Emily Marion Higgins | Nurse Anesthetist, Certified Registered | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-05-19 |
| 1154943777 | Matthew Hunter Speeg | Nurse Anesthetist, Certified Registered | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-05-18 |
| 1235751199 | Corey Ellis Sumner | Nurse Anesthetist, Certified Registered | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-05-14 |
| 1336761121 | Dwight David Driskell | Nurse Anesthetist, Certified Registered | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-05-14 |
| 1548881451 | Logan Mccall Sawyer | Pharmacist | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-05-01 |
| 1356961817 | Elizabeth Middleton Baumann | Registered Nurse | 810 Saint Vincents Dr, Birmingham, AL 35205-1695 | 2020-04-24 |
| 1487273868 | Richelle Chambliss | Pharmacist | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750790838 | Mohammad Junaid Humayun | Psychiatry & Neurology | 1719 6th Avenue South, Birmingham, AL 35294-2547 | 2014-08-04 |
| 1033531637 | Sykes Neurology PC | Psychiatry & Neurology | 52 Medical Park Dr E Ste 320, Birmingham, AL 35235-3441 | 2014-01-16 |
| 1871766709 | Neurology Specialists of Al, PC | Psychiatry & Neurology | 513 Brookwood Blvd Ste 360, Birmingham, AL 35209-7826 | 2008-04-11 |
| 1093898918 | Helen I Barkan | Psychiatry & Neurology | 1719 6th Ave S, Circ 312, Birmingham, AL 35294-0001 | 2006-10-23 |
| 1013001148 | Robins J Newton | Psychiatry & Neurology | 2700 10th Ave S Ste 400, Birmingham, AL 35205 | 2006-10-03 |
| 1912918319 | Eroboghene Ekamereno Ubogu | Psychiatry & Neurology | 1720 7th Ave S, Suite 200, Birmingham, AL 35294-0017 | 2006-08-10 |
| 1417989740 | Diane R Counce | Psychiatry & Neurology | 1000 Southlake Park Ste 200, Suite 400b, Birmingham, AL 35244-5700 | 2006-07-07 |
| 1558398172 | Angela Hays Shapshak | Psychiatry & Neurology | Rwuh M226, 619 19th Street South, Birmingham, AL 35249-3280 | 2006-06-27 |
| 1770538233 | Khurram Bashir | Psychiatry & Neurology | 1720 7th Ave South, Birmingham, AL 35233-0017 | 2006-05-23 |
| 1568466597 | Jane Pearson Md Pa | Psychiatry & Neurology | 2660 10th Ave S, Ste 520, Birmingham, AL 35205-1605 | 2005-06-08 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
Please comment or provide details below to improve the information on JOHN CARLOS BROCKINGTON.
| 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.