ANDREW JOHN VAN BROCKLIN (NPI# 1902181555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902181555 |
| Entity Type | Individual |
| Full Name | ANDREW JOHN VAN BROCKLIN |
| Credential | DO |
| Practice Address |
8333 N Davis Hwy Pensacola FL 32514-6050 |
| Practice Telephone | 8504748015 |
| Practice Fax Number | 8509692840 |
| Mailing Telephone | 8504748100 |
| Mailing Fax Number | 8504748083 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2015-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | OS015794 | PA | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
OS11531 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009795100 | 05 |
| Street Address |
8333 N DAVIS HWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-6050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394613 | Donald M Dewey | Orthopaedic Surgery | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2005-05-24 |
| 1114528312 | Lucas Braden Heitman | Physician Assistant | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2020-11-04 |
| 1093328056 | Alyssa Haley | Audiologist | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2020-08-28 |
| 1568074995 | Andrew Bean | Pharmacist | 8333 N Davis Hwy, Walgreens, Pensacola, FL 32514 | 2020-08-18 |
| 1942810072 | Martha Davault | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2020-08-04 |
| 1144855958 | Nicole Chase Adams | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2020-03-12 |
| 1093352619 | Danielle Tozzo | Physician Assistant | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2019-12-02 |
| 1104475235 | Aryn Del Valle | Physician Assistant | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2019-09-11 |
| 1649731415 | Vanessa Enriquez | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2019-03-26 |
| 1881165652 | Jessica Christine Byrd | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2018-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099386 | Gulf Coast Pain Consultants LLC | Anesthesiology | 10437 Sorrento Rd Ste 203, Pensacola, FL 32507-7620 | 2019-05-23 |
| 1144431321 | Jason Capra | Anesthesiology | 4901 Market Place Rd, Pensacola, FL 32504-8986 | 2007-05-27 |
| 1841239084 | Kurt A Krueger | Anesthesiology | 5028 N Davis Hwy, Pensacola, FL 32503-2345 | 2006-06-05 |
| 1326039538 | Gerald William Grass | Anesthesiology | 4300 Bayou Blvd, Suite 17b, Pensacola, FL 32503-1949 | 2005-11-04 |
| 1679560536 | Rodger Kenneth Garrett | Anesthesiology | 4724 N. Davis Hwy, Pensacola, FL 32503 | 2005-10-05 |
| 1194226225 | Dynamic Pain & Wellness Pllc | Anesthesiology | 4457 Bayou Blvd, Pensacola, FL 32503-2601 | 2018-02-23 |
| 1629338348 | Justin William Byrne Tokorcheck | Anesthesiology | 4457 Bayou Blvd, Pensacola, FL 32503-2601 | 2012-05-29 |
| 1124330964 | Varun Kumar Rimmalapudi | Anesthesiology | 4901 Market Place Rd, Pensacola, FL 32504-8986 | 2010-07-09 |
| 1265679484 | Complete Pain Management, Pl | Anesthesiology | 4220 N Davis Hwy, Ste A100, Pensacola, FL 32503-2721 | 2009-01-09 |
| 1154593259 | Christopher Michael Middendorf | Anesthesiology | 1549 Airport Blvd, Suite 430, Pensacola, FL 32504-8633 | 2008-03-28 |
| Find all providers in PENSACOLA | ||||
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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.