Tara L Brockman (NPI# 1619380680, PAC ID# 9931324787) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619380680 |
| PAC ID by PECOS | 9931324787 |
| Professional Enrollment ID | I20160115001237 |
| Full Name | Tara L Brockman |
| Organization Legal Name | BROADLAWNS MEDICAL CENTER |
| Address |
1801 Hickman Rd Des Moines IA 50314-1597 |
| Phone Number | 5152823730 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3678466166 |
| Number of Group Practice Members | 193 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160101 | BROADLAWNS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1801 Hickman Rd, Des Moines, IA 50314-1597 | 5152823730 | BROADLAWNS MEDICAL CENTER |
| Organization Legal Name | BROADLAWNS MEDICAL CENTER |
| Physicians | 205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah B Ling | Family Medicine | Broadlawns Medical Center | 507 14th St, Dallas Center, IA 50063-7738 |
| William L Ingram | Emergency Medicine | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Ryan Bakke | Emergency Medicine | Broadlawns Medical Center | 2508 E University Ave, Des Moines, IA 50317-5313 |
| Edward G Jones | Family Medicine | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Brahmananda P Makkapati | Psychiatry | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Kanwaljit Kaur Chouhan | Nephrology | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Lisa M Kirkpatrick | Physician Assistant | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Kelly J Weiss Kreps | Psychiatry | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| William H Fanter | Physician Assistant | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Paul W Baumert Jr. | Family Medicine | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Street Address |
1801 HICKMAN RD |
| City | DES MOINES |
| State | IA |
| Zip | 50314-1597 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William L Ingram | Emergency Medicine | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Edward G Jones | Family Medicine | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Brahmananda P Makkapati | Psychiatry | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Kanwaljit Kaur Chouhan | Nephrology | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Lisa M Kirkpatrick | Physician Assistant | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Kelly J Weiss Kreps | Psychiatry | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| William H Fanter | Physician Assistant | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Paul W Baumert Jr. | Family Medicine | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Sheri L Schroeder | Physician Assistant | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Melvin T Bobo | Clinical Social Worker | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1597 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn M Hall | Psychologist, Clinical | 654 19th St, Apt 2, Des Moines, IA 50314-1100 | |
| Victoria Lynne Campbell | Nurse Practitioner | 1907 Carpenter Ave, Des Moines, IA 50314-1310 | |
| Jillian J Grund | Certified Registered Nurse Anesthetist (crna) | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Lorie A Montag | Pathology | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Julie A Schuck | Nurse Practitioner | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Monique P Root | Optometry | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Mohammad S Iqbal | Pain Management | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Nicholas Joseph Galioto | Family Medicine | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Timothy P Olson | Psychiatry | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Kindra L Perry | Psychologist, Clinical | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Find all physicians in zip 50314 | |||
| City | DES MOINES |
| Zip Code | 50314 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DES MOINES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tara L Brockman.
| 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.