TINA BROCKMAN


Address: 201 W Broadway, Suite 4a, Columbia, MO 65203-3842
Phone: 5734430937

TINA BROCKMAN (NPI# 1316049224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316049224
Entity Type Individual
Full Name TINA BROCKMAN
Credential MD
Practice Address 201 W Broadway
Suite 4a
Columbia
MO 65203-3842
Mailing Address 1002 Steelhead Ct
Columbia
MO 65203-6473
Practice Telephone 5734430937
Practice Fax Number 5738757948
Mailing Telephone 5732895344
Enumeration Date 2006-09-01
Last Update Date 2016-01-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 2008010706 MO Allopathic & Osteopathic Physicians

Other Providers TINA BROCKMAN

NPI Name Taxonomy Address Enumeration
1598139040 Tina Kathryn Brockman Pharmacist 3420 Chaparral Dr, Apt 232, Roanoke, VA 24018-4903 2015-11-20

Office Location

Street Address 201 W BROADWAY
SUITE 4A
City COLUMBIA
State MO
Zip Code 65203-3842

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053850461 Lawrence, Oliver & Associates, LLC Community/Behavioral Health 201 W Broadway, Bldg 2, Ste F, Columbia, MO 65203-3842 2017-02-17
1447629829 Como Cubs Pediatrics Clinic/Center 201 W Broadway, Suite 4a, Columbia, MO 65203 2015-09-16
1316322886 Rebecca Levy Williams Social Worker 201 W Broadway, Building 3-i, Columbia, MO 65203-3842 2015-07-27
1801277793 Victoria Day Counselor 201 W Broadway, Bldg 3-i, Columbia, MO 65203-3842 2015-06-16
1053798603 Emily Paulsen Counselor 201 W Broadway, Building 2 Suite F, Columbia, MO 65203-3842 2015-05-04
1174912067 Kim Bowman Counselor 201 W Broadway, Bldg. 3, Suite I, Columbia, MO 65203-3842 2015-01-14
1720401300 Sea A PC Emergency Medicine 201 W Broadway, Bldg 5 Ste B, Columbia, MO 65203-3842 2014-02-02
1023439478 Karmen Bennett Counselor 201 W Broadway, Bldg. 3, Suite I, Columbia, MO 65203-3842 2014-01-01
1124322581 Francis J. Otradovec, Dds PC Dentist 201 W Broadway, Bld 5, Columbia, MO 65203-3842 2010-12-28
1427358696 Lawrence, Oliver and Associates, LLC. Counselor 201 W Broadway, Bldg 2, Suite F, Columbia, MO 65203-3842 2010-10-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982229498 Rebecca Wallace Counseling LLC Clinic/Center 207 Peach Way, Suite 110, Columbia, MO 65203 2020-06-10
1144797101 Mary Zhang Family Medicine 200 Southampton Drive, Ste 102, Columbia, MO 65203 2018-10-29
1871090258 Hina Omer Khokhar Pathology 4601 Apt F West Millbrook Dr, Columbia, MO 65203 2018-04-11
1154820157 David Vincent Spencer Internal Medicine 201 W Broadway Building, Suite E, Columbia, MO 65203 2018-02-05
1598283103 Donna Strickland Counselor 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 2017-09-03
1134643182 Anna Kathryn Christensen Physician Assistant 4107 Baurichter Dr., Columbia, MO 65203 2017-08-01
1558885871 Juan Camilo Pineda Internal Medicine 210 Portland Street Suite 104, Columbia, MO 65203 2017-07-28
1922530096 The Missing L Inc Community/Behavioral Health 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 2017-03-29
1689118010 Linda Landry Nurse Practitioner 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 2016-12-04
1417313552 Brittany Lea Ramirez Chiropractor 2001 Corona Rd Ste 205, Columbia, MO 65203 2016-01-05
Find all providers in zip 65203

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972128742 Emily Anne Cloessner Pediatrics Prisma Health Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2020-06-08
1043833890 Lauren F. Cook Pediatrics Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2020-05-27
1619598158 Zeel Hiren Patel Pediatrics Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2020-05-06
1427695824 Naseem Khan Pediatrics 10851 Clarksville Pike, Columbia, MD 21044-1338 2019-12-04
1164089124 Mercy Clinic Illinois, LLC Pediatrics 1019 Valmeyer Rd, Columbia, IL 62236-4123 2019-05-24
1629568480 Heather Kay Lynn Pediatrics Pediatric Outpatient Clinic, 1801 Sunset Drive, Columbia, SC 29203 2018-05-16
1174013932 Dalton Mark Renick Pediatrics Pediattric Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2018-05-16
1033630330 Brian Bradley Johnson Pediatrics Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2017-06-28
1316350226 Duncan Lee Norton Pediatrics 14 Medical Park, Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 2014-06-09
1225440910 Michael Mitchell Pediatrics 14 Medical Park Ste 400, Pediatric Clinic, Columbia, SC 29203 2014-05-29
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 65203

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Dataset Information

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.

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