Individual
ADAM JAMES BROCHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
74785 US HIGHWAY 111 STE 101, INDIAN WELLS, CA 92210
(760) 836-3835
Mailing address
503 EISENHOWER DR, SAVANNAH, GA 31406-2668
(912) 355-6255
(912) 355-6256
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
052147
GA
2085R0202X
Diagnostic Radiology Physician
A92244
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A922440
BLUE SHIELD OF CA
CA
05
—
00A922440
—
CA
Enumeration date
05/10/2006
Last updated
08/29/2018
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