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Brian P. Brocker M.D., Inc

NPI 1134316664ActiveOrganization· Specialist· Youngstown, OH

Specialist in Youngstown, Ohio, registered in NPPES in September 2007. The authorized official on file is Brian P. Brocker, M.D., President/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1134316664
StatusActive
Entity typeOrganization
NPI issuedSep 28, 2007
Last updated in NPPESJul 16, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X35-066899OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (OH)

Medicare sources and data years

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