TODD ALAN BROCKMAN (NPI# 1730187907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730187907 |
| Entity Type | Individual |
| Full Name | TODD ALAN BROCKMAN |
| Credential | M.D. |
| Practice Address |
2000 S Wheeling Ave 403 Tulsa OK 74104-5639 |
| Practice Telephone | 9187425513 |
| Practice Fax Number | 9187425570 |
| Mailing Telephone | 9187425513 |
| Mailing Fax Number | 9187425570 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2010-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 15602 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720380454 | Todd M Brockman | Physical Therapist | 13 Oblique St, Florence, KY 41042-1927 | 2010-12-01 |
| Street Address |
2000 S WHEELING AVE 403 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627325 | Robert L. Cossman | Internal Medicine | 2000 S Wheeling Ave, Ste 1000, Tulsa, OK 74104-5648 | 2005-05-23 |
| 1740666015 | Jay Williamson Do PC | Obstetrics & Gynecology | 2000 S Wheeling Ave, Ste. 700, Tulsa, OK 74104 | 2015-08-10 |
| 1396123246 | Caleb Eugene Burrows | Otolaryngology | 2000 S Wheeling Ave, Ste 900, Tulsa, OK 74104-5647 | 2015-05-12 |
| 1013314715 | Laura Kerr | Physician Assistant | 2000 S Wheeling Ave, Ste 200, Tulsa, OK 74104-5649 | 2014-11-24 |
| 1093157562 | Vanessa Erin Bennett | Optometrist | 2000 S Wheeling Ave, Ste 1010, Tulsa, OK 74104-5649 | 2013-07-24 |
| 1225320328 | Claire Lukeman Mattocks | Pediatrics | 2000 S Wheeling Ave, Suite 300, Tulsa, OK 74104-5649 | 2011-05-07 |
| 1497046437 | Eric Gregory | Physician Assistant | 2000 S Wheeling Ave, Tulsa, OK 74104-5649 | 2011-04-25 |
| 1396049086 | Kelsey D Wilkins | Physician Assistant | 2000 S Wheeling Ave, Ste 100, Tulsa, OK 74104-5649 | 2011-01-10 |
| 1174824304 | Tulsa Pain Consultants, Inc. | Pain Medicine | 2000 S Wheeling Ave, Suite 600, Tulsa, OK 74104-5649 | 2010-11-04 |
| 1174836241 | Marc A Goldberg Md PC | Eyewear Supplier (Equipment, not the service) | 2000 S Wheeling Ave, Suite 1010, Tulsa, OK 74104-5649 | 2010-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962780627 | Mary Anne Ahluwalia | Ophthalmology | 6140 S Memorial Dr Ste 220, Tulsa, OK 74133-1933 | 2011-07-29 |
| 1912299892 | Joyce Kokatt Varkey | Ophthalmology | 3906 S. Peoria, Eye Care for Tulsa, Tulsa, OK 74105 | 2011-05-10 |
| 1578883336 | Jamal Dean Siddiqui | Ophthalmology | 7171 S Yale Ave Ste 103, Tulsa, OK 74136-6367 | 2010-06-03 |
| 1750617809 | Tlc Vision Center PC | Ophthalmology | 6827 S Memorial Dr, Ste. A, Tulsa, OK 74133-2126 | 2009-10-26 |
| 1982838397 | Anika K Tandon | Ophthalmology | 4606 E. 67th St., Bldg 7, Suite 400, Tulsa, OK 74136-4950 | 2009-05-13 |
| 1235385766 | Kelli Herlihy Dyer | Ophthalmology | 10010 E 81st St Ste 100, Tulsa, OK 74133-4558 | 2008-08-15 |
| 1952563025 | Shannon Gregory Cox | Ophthalmology | 1826 E 15th St Ste B, Tulsa, OK 74104-4637 | 2008-06-30 |
| 1245258789 | Walter James Peters Jr. | Ophthalmology | 7171 S Yale Ave Ste 101, Tulsa, OK 74136-6367 | 2006-07-17 |
| 1154351310 | Bruce Ben Pettigrove | Ophthalmology | 6606 S. Yale, #220, Tulsa, OK 74136 | 2006-07-04 |
| 1093768590 | Zeb Linston Brister | Ophthalmology | 3906 S Peoria Ave, Tulsa, OK 74105-3131 | 2006-05-18 |
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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.