Individual
DR. DANIEL SCOTT BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 574-1551
Mailing address
12 HEMLOCK HILL RD, ORCHARD PARK, NY 14127-3964
(716) 574-1551
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
249468
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101924377
—
PA
01
—
111167
GEISINGER
PA
01
—
1566797
GATEWAY-WMG
PA
01
—
1969203
HIGHMARK BLUE SHIELD
PA
01
—
20067553
AMERIHEALTH MERCY-WMG
PA
01
—
210805
JOHNS HOPKINS
PA
01
—
212476
UNISON-WMG
PA
01
—
2161248
MAMSI-WMG
—
01
—
50069804
CAPITAL BLUE CROSS-WMG
PA
01
—
897588
CAREFIRST MD BCBS
MD
01
—
9203104
AETNA
PA
Enumeration date
05/10/2007
Last updated
07/23/2013
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