CHRISTINA BROCKMAN (NPI# 1407834864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407834864 |
| Entity Type | Individual |
| Full Name | CHRISTINA BROCKMAN |
| Credential | D.O. |
| Practice Address |
4387 Winston Ave Covington KY 41015-1739 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8594317300 |
| Practice Fax Number | 8594315999 |
| Mailing Telephone | 8596472900 |
| Mailing Fax Number | 8596470140 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 34008157 | OH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 02005288A | IN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 03514 | KY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 34-008157 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3041587 | 05 | |
| KY | RR MEDICARE | P01296768 | 01 |
| KY | 7100121880 | 05 |
| Street Address |
4387 WINSTON AVE |
| City | COVINGTON |
| State | KY |
| Zip Code | 41015-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578984779 | Summit Medical Group, Inc | Emergency Medicine | 4387 Winston Ave, Covington, KY 41015-1739 | 2013-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609386580 | Brandon D Smith | Respite Care | 686 Wischer Dr, Taylor Mill, KY 41015 | 2017-10-05 |
| 1669868394 | Katy Hoffman | Counselor | 4339 Winston Avenue, Latonia Center, Covington, KY 41015 | 2015-04-09 |
| 1750499166 | Drs Halpin Psc | Dentist | 5150 Taylor Mill Road, Taylor Mill, KY 41015 | 2006-08-26 |
| 1114996196 | Ryland Heights and Community Volunteer Fire Dept Inc | Ambulance | 10041 Decoursey Pike, Ryland Heights, KY 41015 | 2006-03-14 |
| 1750788261 | Andrew Glockner | Social Worker | 4339 Winston Ave, Covington, KY 41015 | 2014-11-26 |
| 1922445303 | Laura Mcginnis Foor | Family Medicine | 5522 Taylor Mill Rd, Taylor Mill, KY 41015 | 2013-05-27 |
| 1073541967 | Christine Marie Timmerman | Art Therapist | 4339 Winston Ave, Covington, KY 41015 | 2006-06-29 |
| 1124319579 | Tawnya Kordenbrock | Counselor | 3800 Church St., Covington, KY 41015-0742 | 2011-04-20 |
| 1184723918 | Paula Weber | Social Worker | 3629 Church St, Covington, KY 41015-1430 | 2006-09-21 |
| 1679911408 | Kara L Riegler | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2013-06-14 |
| Find all providers in zip 41015 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514969 | Oasis Healthcare Service | Family Medicine | 2195 Pace St Ste E, Covington, GA 30014-6657 | 2020-09-24 |
| 1750878641 | Cynthia Diane Brown | Family Medicine | 926 Spring St, Covington, KY 41016-1655 | 2018-04-17 |
| 1194179101 | Joseph Andrew Freeman | Family Medicine | 1995 Highway 51 S Ste 204, Covington, TN 38019-3655 | 2016-04-15 |
| 1124415799 | Alliance Xpress Care LLC | Family Medicine | 919 S Craig Ave Ste A, Covington, VA 24426-1954 | 2015-04-22 |
| 1831597103 | Dr Andrew Malinchak Inc | Family Medicine | 4128 Highway 278 Ne, Covington, GA 30014-2494 | 2014-12-18 |
| 1790045938 | Sarah Lynn Green | Family Medicine | 1999 Highway 51 South, Suite A, Covington, TN 38019-3630 | 2012-05-22 |
| 1821355637 | Keisha D'andrea Harvey | Family Medicine | 70124 3rd St, Covington, LA 70433-8407 | 2012-04-18 |
| 1700185519 | Smitty Smith | Family Medicine | 874 Woodsprings Ct, Covington, LA 70433-7489 | 2011-03-18 |
| 1336460880 | John D Molesky Do Inc | Family Medicine | 550 Mote Dr Ste 2, Covington, OH 45318-1273 | 2010-06-18 |
| 1871824177 | Michael John Haas | Family Medicine | 72385 Industry Park Rd, Covington, LA 70435-8607 | 2010-01-26 |
| Find all providers in COVINGTON | ||||
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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.