Individual
DANIEL BROCKSMITH
Active
Individual
DANIEL BROCKSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
52770
CA
363AS0400X
Surgical Physician Assistant
Primary
PA10004008
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191330
DEPT OF L&I PIN
WA
01
—
8160BR
REGENCE PIN
WA
05
—
8408346
—
WA
01
—
8939391
CRIME VICTIMS COMP PIN
WA
Enumeration date
07/13/2006
Last updated
10/09/2020
Update your record
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 at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up