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Individual
DR. JASON ANTHONY BROCKER
Active
Individual
DR. JASON ANTHONY BROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
293437
MA
208600000X
Surgery Physician
N0661
TX
2086S0102X
Surgical Critical Care Physician
2015021905
MO
2086S0102X
Surgical Critical Care Physician
Primary
293437
MA
2086S0102X
Surgical Critical Care Physician
D76238
MD
2086S0102X
Surgical Critical Care Physician
MD458636
PA
2086S0102X
Surgical Critical Care Physician
N0661
TX
2086S0127X
Trauma Surgery Physician
D76238
MD
Other
Enumeration date
07/07/2008
Last updated
09/16/2025
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