John M Brockenbrough (NPI# 1134154131, PAC ID# 2062300452) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1134154131 |
| PAC ID by PECOS | 2062300452 |
| Professional Enrollment ID | I20141104000934 |
| Full Name | John M Brockenbrough |
| Organization Legal Name | KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 |
| Address |
12303 Ne 130th Ln Suite 400 Kirkland WA 98034-3041 |
| Phone Number | 4258994592 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 7618880097 |
| Number of Group Practice Members | 351 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500124 | EVERGREEN HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12303 Ne 130th Ln, Suite 400, Kirkland, WA 98034-3041 | 4258994592 | KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 |
| Organization Legal Name | KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric A Harris | General Surgery | King County Public Hospital District No 2 | 14841 179th Ave Se, Suite 140, Monroe, WA 98272-1127 |
| Jessee Logan Meek | Family Medicine | King County Public Hospital District No 2 | 16916 140th Ave Ne, Suite 300, Woodinville, WA 98072-6957 |
| Sarah Chase Abbot | Family Medicine | King County Public Hospital District No 2 | 10025 Ne 186th St, Bothell, WA 98011-3839 |
| Rachel Chesley | Nurse Practitioner | King County Public Hospital District No 2 | 615 W Stevens Ave Hwy 2, Sultan, WA 98294-9458 |
| Larissa Quadracci Mattei | Physician Assistant | King County Public Hospital District No 2 | 1909 214th St Se, Suite 110, Bothell, WA 98021-4412 |
| Erika L Peschel | Nurse Practitioner | King County Public Hospital District No 2 | 12333 Ne 130th Lane, 400 Evgrnhl Spine/neuros, Kirkland, WA 98034-7467 |
| Xuemei Su | Nurse Practitioner | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Suite 420, Kirkland, WA 98034-3042 |
| Helan Khang Lee-garrard | Family Medicine | King County Public Hospital District No 2 | 18151 68th Ave Ne, Suite 100, Kenmore, WA 98028-2835 |
| James M Lee | Family Medicine | King County Public Hospital District No 2 | 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 |
| Theresa S Tsang | Obstetrics/gynecology | King County Public Hospital District No 2 | 12303 Ne130th Ln, Ste120 225/400/420/530/550, Kirkland, WA 98034-3099 |
| Street Address |
12303 NE 130TH LN SUITE 400 |
| City | KIRKLAND |
| State | WA |
| Zip | 98034-3041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Xuemei Su | Nurse Practitioner | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Suite 420, Kirkland, WA 98034-3042 |
| Jean R Dydell | Obstetrics/gynecology | Eastside Ob/gyn Pllc | 12303 Ne 130th Ln, Suite 450, Kirkland, WA 98034-3032 |
| Amy Lynn Bartnikowski | Certified Nurse Midwife (cnm) | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Suite 420, Kirkland, WA 98034-3042 |
| Mary C Price | Nurse Practitioner | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Suite 120, Kirkland, WA 98034-3041 |
| Sarah R Dumke | Nurse Practitioner | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Suite 420, Kirkland, WA 98034-3042 |
| Stephen G Hyde | Obstetrics/gynecology | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Suite 420, Kirkland, WA 98034-3042 |
| Henry Su | Internal Medicine | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Kirkland, WA 98034-3041 |
| Aileen A Mickey | Pulmonary Disease | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Kirkland, WA 98034-3041 |
| Mary W Tsuang | Obstetrics/gynecology | Eastside Ob/gyn Pllc | 12303 Ne 130th Ln, Suite 450, Kirkland, WA 98034-3032 |
| Pilar Baquero | Obstetrics/gynecology | King County Public Hospital District No 2 | 12303 Ne 130th Ln, Suite 420, Kirkland, WA 98034-3042 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin Edward Lubereski | Chiropractic | Ryan Coogan Dc Ps | 11902 97th Ave Ne, Kirkland, WA 98034-1882 |
| Ryan Sean Coogan | Chiropractic | Ryan Coogan Dc Ps | 11902 97th Ave Ne, Kirkland, WA 98034-1882 |
| Richard A Wyckoff | Clinical Psychologist | 13606 Ne 20th St, Suite 205, Bellevue, WA 98034-2011 | |
| Olena Sergiyivna Fox | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Sid H Siahpush | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Zhendong J Ma | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Amy O Zachara | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Olga G Abramova | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Syed Kamal Mustafa | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Garth Edward Terry | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Find all physicians in zip 98034 | |||
| City | KIRKLAND |
| Zip Code | 98034 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | KIRKLAND + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on John M Brockenbrough.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.