DOUGLAS JOHN BROCKMAN (NPI# 1174583306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174583306 |
| Entity Type | Individual |
| Full Name | DOUGLAS JOHN BROCKMAN |
| Credential | DDS |
| Practice Address |
210 S Breiel Blvd Middletown OH 45044-5157 |
| Practice Telephone | 5134239239 |
| Mailing Telephone | 5134239239 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2014-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
18488 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0701379 | 05 | |
| OH | 0743637 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154540441 | Douglas Dean Brockman | Chiropractor | 280 Ashworth Dr, Waukee, IA 50263-9763 | 2007-04-25 |
| Street Address |
210 S BREIEL BLVD |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45044-5157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770542235 | William Patrick Noonan | Dentist | 210 S Breiel Blvd, Middletown, OH 45044-5157 | 2006-03-22 |
| 1447447651 | Carlos M Ongkiko Jr Md Inc | Neurological Surgery | 210 S Breiel Blvd, Middletown, OH 45044-5157 | 2007-10-02 |
| 1790835866 | Matthew Patrick Pollock | Dentist | 210 S Breiel Blvd, Middletown, OH 45044-5157 | 2007-01-11 |
| 1689754327 | Noonan, Brockman and Pollock, D.d.s., Inc. | Dentist | 210 S Breiel Blvd, Middletown, OH 45044-5157 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091250 | Pamela Little Little-hayes | Occupational Therapist | 1516 First Ave, Middletown, OH 45044 | 2018-11-07 |
| 1568955136 | King's Pharmacy | Pharmacy | 7043 Yankee Rd, Liberty Township, OH 45044 | 2018-06-08 |
| 1669964227 | Ashley Loren Witt | Counselor | 2005 Central Avenue, Middletown, OH 45044 | 2018-05-30 |
| 1598275703 | Liberty Endoscopy Center | Clinic/Center | 7360 Liberty One Dr, Liberty Township, OH 45044 | 2017-10-03 |
| 1295250330 | Inocencia Catral Ayson-schmidt | Registered Nurse | 2021 Monarch Drive, Middletown, OH 45044 | 2017-08-10 |
| 1356862973 | Selena E Mack | Home Health Aide | 1407 East St, Middletown, OH 45044 | 2017-07-05 |
| 1083135792 | Caroline Marie Goff | Social Worker | 321 Curtis Street, Middletown, OH 45044 | 2017-07-03 |
| 1013445659 | Erinn Michelle Torbeck | Dentist | 6862 Liberty Plaza Dr Ste 500, Liberty Township, OH 45044 | 2017-05-26 |
| 1194263160 | Pamela Gill | Private Vehicle | 1705 Sheridan Ave, Middletown, OH 45044 | 2017-02-09 |
| 1093265217 | Shirletta Hilton | Registered Nurse | 6143 Dawson Dr, Middletown, OH 45044 | 2016-10-12 |
| Find all providers in zip 45044 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184160806 | Jordan Marie Britt | Dentist | 130 Evergreen Rd Ste 100, Middletown, KY 40243-1480 | 2017-01-19 |
| 1962678276 | Rodrell S. Brown | Dentist | 8 Underhill Rd, Apt 6, Middletown, NY 10940-7097 | 2008-05-06 |
| 1407907355 | Joel Franklin Weintraub | Dentist | 789 East Main St., Middletown, NY 10940-0270 | 2007-01-16 |
| 1770542235 | William Patrick Noonan | Dentist | 210 S Breiel Blvd, Middletown, OH 45044-5157 | 2006-03-22 |
| 1699766204 | Daniel James Shoemaker | Dentist | 828 Newfield St, Middletown, CT 06457-1857 | 2005-11-02 |
| 1588114227 | Sweet Tooth Pediatric Dentistry | Dentist | 583 Saybrook Rd, Middletown, CT 06457-4718 | 2016-10-05 |
| 1518326693 | Patricia A. Carta, Dmd LLC | Dentist | 583 Saybrook Rd, Middletown, CT 06457-4718 | 2016-02-17 |
| 1790143402 | Hudson Valley Pediatric Dental, Pllc | Dentist | 75 Crystal Run Rd, Suite 235, Middletown, NY 10941-7000 | 2016-02-09 |
| 1992046635 | Erica Pitera | Dentist | 583 Saybrook Rd, Middletown, CT 06457-4718 | 2013-03-05 |
| 1013277037 | Mark M. Dawoud | Dentist | 75 Dolson Ave, Middletown, NY 10940-6501 | 2012-05-23 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 45044 |
Please comment or provide details below to improve the information on DOUGLAS JOHN BROCKMAN.
| 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.