BRIAN P BROCKER (NPI# 1578548830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578548830 |
| Entity Type | Individual |
| Full Name | BRIAN P BROCKER |
| Credential | M.D. |
| Practice Address |
1616 Covington St Youngstown OH 44510-1244 |
| Practice Telephone | 3307479215 |
| Practice Fax Number | 3307479248 |
| Mailing Telephone | 3307479215 |
| Mailing Fax Number | 3307479248 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2014-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 35-066899 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AETNA | 4597438 | 01 |
| OH | CIGNA | 7405468 | 01 |
| OH | 0976770 | 05 | |
| OH | UNISON | 000000106032 | 01 |
| OH | ANTHEM | 000000138342 | 01 |
| OH | UNITED HEALTHCARE | 0600127 | 01 |
| Street Address |
1616 COVINGTON ST |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44510-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134316664 | Brian P. Brocker M.d., Inc | Specialist | 1616 Covington St, Youngstown, OH 44510-1244 | 2007-09-28 |
| 1376730838 | Robert J. Brocker M.d., Inc. | Specialist | 1616 Covington St, Youngstown, OH 44510-1244 | 2007-09-28 |
| 1336279132 | Youngstown Neurologic Associates | Physical Therapist | 1616 Covington St, Youngstown, OH 44510-1244 | 2007-03-07 |
| 1851377733 | Robert J Brocker | Psychiatry & Neurology | 1616 Covington St, Youngstown, OH 44510-1244 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750889457 | Abolfazl Sodagar | Internal Medicine | 1001 Covington Street, Youngstown, OH 44510 | 2018-01-28 |
| 1285298422 | Kabir Kunwar | Internal Medicine | 1001 Covington Ave, Youngstown, OH 44510 | 2019-04-23 |
| 1861978603 | Fatemeh Dehghan Manshadi | Counselor | 611 Belmont Avenue, Youngstown, OH 44510 | 2018-07-16 |
| 1952780256 | Stephen Dominic Pupillo | Internal Medicine | 1001 Covington St, Youngstown, OH 44510 | 2015-05-20 |
| 1588005946 | Lisa J Cascarelli | Registered Nurse | 1001 Covington St, Youngstown, OH 44510 | 2013-07-15 |
| 1891041141 | Lillianne Stanitsas | Surgery | 1001 Covington St, Youngstown, OH 44510 | 2012-07-24 |
| 1356361075 | Fred R Pruitt | Internal Medicine | 550 Parmalee Ave, Suite 310, Youngstown, OH 44510 | 2006-07-19 |
| 1912900341 | Scientific Medical Imaging, Inc. | Specialist | 540 Parmalee Ave, Suite 100, Youngstown, OH 44510 | 2005-05-31 |
| 1972128130 | Destiny Frost | Home Health Aide | 2749 Hammaker St, Youngstown, OH 44510-1037 | 2020-06-13 |
| 1225638547 | Sharell Shanta Williams | Nurse's Aide | 1102 Norwood Ave, Youngstown, OH 44510-1104 | 2020-10-27 |
| Find all providers in zip 44510 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780685164 | Peter D Fragatos | Neurological Surgery | 950 Windham Ct, Suite 1, Youngstown, OH 44512-5083 | 2005-08-09 |
| 1497915904 | Daraspreet Singh Kainth | Neurological Surgery | 540 Parmalee Ave Ste 510, Youngstown, OH 44510-1605 | 2008-06-10 |
| 1770752891 | Kene Terence Ugokwe | Neurological Surgery | 540 Parmalee Ave, Suite 510, Youngstown, OH 44510-1716 | 2008-02-22 |
| 1073781282 | Morris W. Pulliam, M.d., LLC | Neurological Surgery | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2008-02-11 |
| 1356324206 | Chander M Kohli | Neurological Surgery | 540 Parmalee Ave, Suite 310, Youngstown, OH 44510-1716 | 2005-11-23 |
| 1245213198 | Anand G Garg | Neurological Surgery | 540 Parmalee Ave, Suite 310, Youngstown, OH 44510-1716 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118420 | Vertrae, Inc. | Neurological Surgery | 70 Birch Alley, Beavercreek, OH 45440-1479 | 2020-09-11 |
| 1972121978 | Rabia Tari | Neurological Surgery | 3333 Burnet Ave # Mlc2016, Cincinnati, OH 45229-3026 | 2020-07-07 |
| 1346875812 | Anna Stroud | Neurological Surgery | 393 E Town St Ste 110, Columbus, OH 43215-4741 | 2020-03-05 |
| 1164924114 | Baha'eddin Ahmad Ibrahim Muhsen | Neurological Surgery | 10201 Carnegie Ave, Ca Building, Cleveland, OH 44195 | 2018-03-06 |
| 1548780117 | Daryn Katherine Cass | Neurological Surgery | University of Cincinnati Medical Center 234 St, Cincinnati, OH 45267-0001 | 2017-06-23 |
| 1023565439 | Zanesville Neurology | Neurological Surgery | 211 Downing Dr, Zanesville, OH 43701-4613 | 2016-09-01 |
| 1427504752 | Ranjit Ganguly | Neurological Surgery | 410 W 10th Ave # 10, Columbus, OH 43210-1240 | 2016-08-28 |
| 1306254677 | Key Clinics LLC | Neurological Surgery | 29001 Cedar Rd Ste 103, Lyndhurst, OH 44124-4041 | 2014-07-30 |
| 1417367608 | Key Clinics, LLC | Neurological Surgery | 269 Portland Way S Lbby Office, Galion, OH 44833-2312 | 2014-04-28 |
| 1437585387 | Herbert S. Bell | Neurological Surgery | 5500 Strathaven Dr, Cleveland, OH 44143-1970 | 2013-09-24 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44510 |
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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.