DR. JOHN ALEX BROCKMAN (NPI# 1942563069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942563069 |
Entity Type | Individual |
Full Name | DR. JOHN ALEX BROCKMAN |
Credential | M.D. |
Practice Address |
5141 W Broad St Ste 180 Columbus OH 43228-1992 |
Mailing Address |
500 Thomas Lane Suite 3g Columbus OH 43214 |
Practice Telephone | 6145441460 |
Mailing Telephone | (614) 788-2870 |
Enumeration Date | 2012-06-22 |
Last Update Date | 2017-06-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 2012017416 | MO | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538244892 | John Richard Brockman Jr. | Dentist | 10450 Park Meadows Dr Ste 304, Lone Tree, CO 80124-5530 | 2006-10-26 |
Street Address |
5141 W BROAD ST STE 180 |
City | COLUMBUS |
State | OH |
Zip Code | 43228-1992 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578124558 | Abigail Marie Wills | Audiologist | 5141 W Broad St Ste 180, Columbus, OH 43228-1992 | 2019-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
Find all providers in zip 43228 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932594249 | Elizabeth Chang Wendel | Urology | 1538 13th Ave Ste B250, Columbus, GA 31901-2565 | 2015-04-02 |
1073932091 | Eric Jacob Fichtenbaum | Urology | 500 E Main St Ste 220, Columbus, OH 43215-5369 | 2014-04-08 |
1992123509 | Raunak Patel | Urology | 500 Thomas Ln Ste G, Columbus, OH 43214-3902 | 2014-04-01 |
1699092056 | Kenneth Delay | Urology | 1538 13th Ave Ste A, Columbus, GA 31901-2544 | 2010-04-26 |
1750596094 | Central Ohio Urology Group, Inc. | Urology | 3100 Plaza Properties Blvd., Suite 320, Columbus, OH 43219 | 2007-05-11 |
1376667212 | Robert Allen Berkman | Urology | 279 S Drexel Ave, Columbus, OH 43209-1742 | 2007-03-17 |
1609923796 | Rice and Lake Urology LLP | Urology | 2000 10th Ave Suite 150, Columbus, GA 31901 | 2007-01-04 |
1407924053 | Southern Indiana Urologic Clinic,llc | Urology | 2475 N Park Dr Ste 10, Columbus, IN 47203-2215 | 2006-12-01 |
1194806687 | Philip T. Schley | Urology | 2808 18th Ave, Columbus, GA 31901-1251 | 2006-10-18 |
1194811182 | Eric S. Ward | Urology | 500 Thomas Ln Ste 3g, Columbus, OH 43214-1419 | 2006-10-05 |
Find all providers in COLUMBUS |
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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.