DR. JASON ANTHONY BROCKER (NPI# 1952564395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952564395 |
| Entity Type | Individual |
| Full Name | DR. JASON ANTHONY BROCKER |
| Credential | M.D. |
| Practice Address |
4940 Eastern Ave Bldg 5th Baltimore MD 21224-2735 |
| Mailing Address |
9910 Franklin Square Dr Ste 2210 Baltimore MD 21236-4902 |
| Practice Telephone | 4105500400 |
| Practice Fax Number | 4105502011 |
| Mailing Telephone | 4109336423 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2019-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD458636 | PA | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
2015021905 | MO | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
D76238 | MD | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
D76238 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
4940 EASTERN AVE BLDG 5TH |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21224-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851680466 | Madhu Gary Subramanian | Surgery | 4940 Eastern Ave Bldg 5th, Baltimore, MD 21224-2735 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595517 | Lisa Farinelli | Registered Nurse | 251 Bayview Bldv, Baltimore, MD 21224 | 2020-07-17 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1194288431 | Tawny Meagan Epperson | Counselor | 5500 E Lombard Street, Community Psychiatry, Child Mobile Treatment Services, Baltimore, MD 21224 | 2019-04-12 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| 1588193437 | Heather Ann Sand | Social Worker | 1501 S Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224 | 2017-06-05 |
| 1912447822 | Jennifer Ann Maser Hermann | Counselor | 4637 Hudson Street, Baltimore, MD 21224 | 2017-02-27 |
| Find all providers in zip 21224 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275789430 | Khanjan H Nagarsheth | Surgery | 419 W Redwood St Ste 240, Baltimore, MD 21201-7004 | 2008-08-07 |
| 1255597100 | John Robert Klune | Surgery | 22 South Greene St, Shock Trauma Center, Baltimore, MD 21401 | 2008-07-31 |
| 1235649526 | Johns Hopkins University | Surgery | 1800 Orleans St, Baltimore, MD 21287-0010 | 2017-10-02 |
| 1730509837 | Robert Anthony Laskowski II | Surgery | 22 S Greene St # T1r53, Baltimore, MD 21201-1544 | 2014-04-16 |
| 1164846077 | Rachel Leah Choron | Surgery | 600 N Wolfe Street, Zayed Suite 6107, Baltimore, MD 21287-0005 | 2014-02-12 |
| 1770926131 | Katherine Marie Kelley | Surgery | 22 S Greene St, Baltimore, MD 21201 | 2013-04-16 |
| 1396004719 | Meredith Elaine Sommerville | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2012-05-04 |
| 1831488162 | Farheen Afshan Qurashi | Surgery | 2435 W Belvedere Ave Ste 42, Baltimore, MD 21215-5224 | 2011-04-07 |
| 1740456201 | Jacques Mather | Surgery | 22 S Greene St, P1g01, Baltimore, MD 21201-1544 | 2008-05-05 |
| 1447454806 | Mayur Narayan | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2007-06-12 |
| Find all providers in BALTIMORE | ||||
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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.