Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
GREG R BROCKBANK
Active
Individual
GREG R BROCKBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO0000780
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200644
LABOR AND INDUSTRY
WA
05
—
8430522
—
WA
01
—
P00326450
RAILRAOD MEDICARE
WA
Enumeration date
10/26/2006
Last updated
04/30/2008
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