Organization
FAMILY MEDICAL CARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES THOMAS BROCKMAN M.D. (MANAGING MEMBER/PHYSICIAN)
(513) 346-5640
Entity
Organization
Contact information
Practice address
9582 PRINCETON GLENDALE RD, HAMILTON, OH 45011-9709
(513) 346-5640
(513) 346-5644
Mailing address
9582 PRINCETON GLENDALE RD, HAMILTON, OH 45011-9709
(513) 346-5640
(513) 346-5644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35055812
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080179668
RAILROAD MEDICARE
—
05
—
0928992
—
OH
Enumeration date
03/14/2008
Last updated
09/19/2011
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