Tracy L Brockman (NPI# 1871553636, PAC ID# 9436207198) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1871553636 |
| PAC ID by PECOS | 9436207198 |
| Professional Enrollment ID | I20110209000767 |
| Full Name | Tracy L Brockman |
| Organization Legal Name | FAMILY HEALTH CARE MEDICAL GROUP OF MODESTO A PROFESSIONAL CORP |
| Address |
1320 Celeste Dr Modesto CA 95355-2408 |
| Phone Number | 2095276900 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8729025879 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1320 Celeste Dr, Modesto, CA 95355-2408 | 2095276900 | FAMILY HEALTH CARE MEDICAL GROUP OF MODESTO A PROFESSIONAL CORP |
| Organization Legal Name | FAMILY HEALTH CARE MEDICAL GROUP OF MODESTO A PROFESSIONAL CORP |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott R Goodreau | Family Medicine | Family Health Care Medical Group of Modesto A Professional Corp | 1320 Celeste Dr, Modesto, CA 95355-2408 |
| Jack L Collins | Family Medicine | Family Health Care Medical Group of Modesto A Professional Corp | 1320 Celeste Dr, Modesto, CA 95355-2408 |
| Sasha A Bluvshteyn | Family Medicine | Family Health Care Medical Group of Modesto A Professional Corp | 1320 Celeste Dr, Modesto, CA 95355-2408 |
| Charlie L Walker | Family Medicine | Family Health Care Medical Group of Modesto A Professional Corp | 1320 Celeste Dr, Modesto, CA 95355-2408 |
| Nicole Mclawrence | Family Medicine | Family Health Care Medical Group of Modesto A Professional Corp | 1320 Celeste Dr, Modesto, CA 95355-2408 |
| James L Shiovitz | Family Practice | Family Health Care Medical Group of Modesto A Professional Corp | 1320 Celeste Dr, Modesto, CA 95355-2408 |
| Street Address |
1320 CELESTE DR |
| City | MODESTO |
| State | CA |
| Zip | 95355-2408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott R Goodreau | Family Medicine | Family Health Care Medical Group of Modesto A Professional Corp | 1320 Celeste Dr, Modesto, CA 95355-2408 |
| Jack L Collins | Family Medicine | Family Health Care Medical Group of Modesto A Professional Corp | 1320 Celeste Dr, Modesto, CA 95355-2408 |
| Sasha A Bluvshteyn | Family Medicine | Family Health Care Medical Group of Modesto A Professional Corp | 1320 Celeste Dr, Modesto, CA 95355-2408 |
| Charlie L Walker | Family Medicine | Family Health Care Medical Group of Modesto A Professional Corp | 1320 Celeste Dr, Modesto, CA 95355-2408 |
| Nicole Mclawrence | Family Medicine | Family Health Care Medical Group of Modesto A Professional Corp | 1320 Celeste Dr, Modesto, CA 95355-2408 |
| James L Shiovitz | Family Practice | Family Health Care Medical Group of Modesto A Professional Corp | 1320 Celeste Dr, Modesto, CA 95355-2408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naihsien D Chen | Internal Medicine | 1303 Mable Ave, Modesto, CA 95355-1119 | |
| Greg A Vigna | Physical Medicine and Rehabilitation | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| David D Nisley | Physician Assistant | Greg Vigna Md Clcp | 1303 Mable Ave, Modesto, CA 95355-1119 |
| Patrick N Rhoades | Physical Medicine and Rehabilitation | 1300 Mable Ave, Suite 2, Modesto, CA 95355-1120 | |
| Sandhya Ravichandran | Anesthesiology | Medical Anesthesia Consultants Medical Group Inc | 1300 Mable Ave, Suite 1, Modesto, CA 95355-1120 |
| L Edward Elliott | Optometry | L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr | 3601 Coffee Rd, Modesto, CA 95355-1161 |
| Mutahir U Khan | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Rajesh Kumar Dubey | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Kent Hon-wah Wong | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Joydev Acharya | Cardiovascular Disease (cardiology) | Stanislaus Cardiology Group | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
| Find all physicians in zip 95355 | |||
| City | MODESTO |
| Zip Code | 95355 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MODESTO + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.