DR. ROBERT J BROCKER (NPI# 1851377733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851377733 |
| Entity Type | Individual |
| Full Name | DR. ROBERT J 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 | 2005-12-21 |
| Last Update Date | 2013-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35-053079 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000323539 | 01 |
| OH | AETNA | 4127012 | 01 |
| OH | UNISON | 000000150690 | 01 |
| OH | 0640453 | 05 |
| Street Address |
1616 COVINGTON ST |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44510-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578548830 | Brian P Brocker | Neurological Surgery | 1616 Covington St, Youngstown, OH 44510-1244 | 2005-12-09 |
| 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 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043659535 | Robert L Gilliland | Psychiatry & Neurology | 4247 Stratford Rd, Youngstown, OH 44512-1422 | 2013-06-18 |
| 1730163908 | Carl Franklin Ansevin | Psychiatry & Neurology | 7417 South Ave, Youngstown, OH 44512-5789 | 2005-12-01 |
| 1730588732 | Praveen Venkatachalam | Psychiatry & Neurology | 1001 Covington St, Youngstown, OH 44510-1617 | 2014-08-15 |
| 1508109018 | Alireza Bozorgi | Psychiatry & Neurology | 1044 Belmont Ave, Youngstown, OH 44504 | 2013-04-03 |
| 1720346042 | Dominic Orion Hickey | Psychiatry & Neurology | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2012-04-24 |
| 1063611309 | John R Becker Jr Md Inc | Psychiatry & Neurology | 550 Parmalee Ave, Suite 200, Youngstown, OH 44510-1602 | 2007-07-17 |
| 1518088483 | Brodmor Inc | Psychiatry & Neurology | 822 E Western Reserve Rd, Youngstown, OH 44514-3359 | 2007-04-02 |
| 1093796427 | John R Becker Jr. | Psychiatry & Neurology | 550 Parmalee Ave, Ste 200, Youngstown, OH 44510-1602 | 2005-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721305 | Stephen P Fuqua | Psychiatry & Neurology | 30 E Apple St # 5254, Dayton, OH 45409-2939 | 2020-05-08 |
| 1972145431 | Columbus Neuroscience LLC | Psychiatry & Neurology | 450 Alkyre Run Ste 350, Westerville, OH 43082-6912 | 2019-10-16 |
| 1538632641 | Premier Neurology LLC | Psychiatry & Neurology | 1730 W 25th St Ste 3a, Cleveland, OH 44113-3108 | 2019-01-10 |
| 1285112862 | Andrew Kuntz | Psychiatry & Neurology | 1611 S Green Rd Ste 141, South Euclid, OH 44121-4121 | 2018-08-05 |
| 1174059174 | Padet Wattanasarn | Psychiatry & Neurology | 1070 Circle On The Grn, Columbus, OH 43235-1211 | 2017-05-11 |
| 1184075491 | Marek Cierny | Psychiatry & Neurology | 9500 Euclid Ave # S80, Cleveland, OH 44195-3522 | 2016-06-28 |
| 1952751471 | Mohamed Ridha | Psychiatry & Neurology | 260 Stetson Street Suite 2300, Mail Location 0525, Cincinnati, OH 45267-1552 | 2016-06-15 |
| 1508246422 | Rachel Pan | Psychiatry & Neurology | 135 N Ewing St Ste 204, Lancaster, OH 43130-3378 | 2015-06-05 |
| 1477940369 | Robert Joseph Stanton II | Psychiatry & Neurology | 3130 Highland Ave Fl 2, Uc Health Neurology Clinic, Cincinnati, OH 45219-2399 | 2015-04-20 |
| 1831591510 | Patrick Chauvel | Psychiatry & Neurology | Cleveland Clinic Epilepsy Ctr, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2014-09-24 |
| 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.