REGINA P. BROCKMAN, D.C., PLLC (NPI# 1932313830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932313830 |
| Entity Type | Organization |
| Organization Name | REGINA P. BROCKMAN, D.C., PLLC |
| Other Organization Name | BROCKMAN CHIROPRACTIC, PLLC |
| Practice Address |
3951 Bardstown Rd Springfield KY 40069-8450 |
| Mailing Address |
Po Box 327 Springfield KY 40069-0327 |
| Practice Telephone | 8593368446 |
| Mailing Telephone | 8593368446 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-10-24 |
| Authorized Official Name | DR. REGINA P. BROCKMAN (OWNER) |
| Authorized Official Telephone | 8593368446 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4174 | KY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT ADV. GROUP | 2719881000 | 01 |
| KY | PASSPORT HLTH PROV# | 50006949 | 01 |
| KY | PASSPORT HLTH GRP# | 50010765 | 01 |
| KY | PASSPORT ADVANTAGE PROVID | 2448139000 | 01 |
| Other Name | Type Code |
|---|---|
| Brockman Chiropractic, PLLC | Doing Business As Name - Organization |
| Street Address |
3951 BARDSTOWN RD |
| City | SPRINGFIELD |
| State | KY |
| Zip Code | 40069-8450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881739555 | Regina P. Brockman | Chiropractor | 3951 Bardstown Rd, Springfield, KY 40069-8450 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972901189 | Fred's Stores of Tennessee Inc | Pharmacy | 1117 Lincoln Park Rd, Springfield, KY 40069 | 2014-12-22 |
| 1730455346 | Christina Nicole Saunier | Speech-Language Pathologist | 716 East Grundy Ave, Springfield, KY 40069 | 2012-03-28 |
| 1912157207 | Allison Brooke Ballard | Social Worker | 2373 Lincoln Park Rd, Springfield, KY 40069 | 2008-09-24 |
| 1497737001 | Lincoln Trail District Health Dept | Public Health or Welfare | 302 E Main St, Springfield, KY 40069 | 2005-11-18 |
| 1497267637 | Jonathon Lee Ennis | Physician Assistant | 805 Bardstown Rd, Springfield, KY 40069 | 2017-10-27 |
| 1619496395 | Family Wellcare Clinic, Pllc | Internal Medicine | 805 Bardstown Rd Ste 12, Springfield, KY 40069 | 2017-09-14 |
| 1750562690 | Washington County Schools | Local Education Agency (LEA) | 120 Mackville Hl, Springfield, KY 40069-1013 | 2007-11-20 |
| 1912028309 | Colette M Hill | Massage Therapist | 114 S Walnut St, Springfield, KY 40069-1104 | 2007-04-03 |
| 1083751424 | Communicare Inc | Community/Behavioral Health | 324 E Main St, Springfield, KY 40069-1127 | 2007-02-01 |
| 1639654809 | Bardstown Primary Care, Pllc | Clinic/Center | 102 W Depot St, Springfield, KY 40069-1159 | 2018-10-03 |
| Find all providers in zip 40069 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140616 | Springfield Chiropractic LLC | Chiropractor | 505 N Laurel St, Springfield, GA 31329-6815 | 2020-10-08 |
| 1578179412 | James Crawford | Chiropractor | 2144 E Republic Rd Ste A104, Springfield, MO 65804-4645 | 2020-09-16 |
| 1982218103 | Western Mass Chiropractic PC | Chiropractor | 275 Bicentennial Hwy Ste 211, Springfield, MA 01118-1965 | 2020-09-04 |
| 1730725425 | Chiro One Wellness Center of Springfield, LLC | Chiropractor | 3409 Freedom Dr Ste 150a, Springfield, IL 62704-6517 | 2019-11-18 |
| 1508408493 | Amrit Justin Jhauj | Chiropractor | 355 Us-22 East, Springfield, NJ 07081 | 2019-10-11 |
| 1992355473 | Candace Bahk Kim | Chiropractor | 6225 Brandon Ave Ste 175, Springfield, VA 22150-2519 | 2019-09-16 |
| 1558826545 | Adrian Bryon Hunter | Chiropractor | 6130 Brandon Ave, Springfield, VA 22150-2610 | 2019-02-05 |
| 1720554959 | Revive Health and Injury Center, LLC | Chiropractor | 333 N Limestone St Ste 104, Springfield, OH 45503-4250 | 2018-10-15 |
| 1831693621 | Michael Benjamin Chiapetto | Chiropractor | 1340 S State St, Springfield, IL 62704-3625 | 2018-03-19 |
| 1134637382 | Gnr Chiropractic LLC | Chiropractor | 2700 W Lawrence Ave Ste J3, Springfield, IL 62704-7201 | 2018-01-22 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 40069 |
Please comment or provide details below to improve the information on REGINA P. BROCKMAN, D.C., PLLC.
| 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.