Individual
ROBERT J BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 BAYLOR DR STE 290, BLUFFTON, SC 29910-8965
(843) 705-8888
Mailing address
4040 HWY 17 BYPASS, SUITE 202, MURRELLS INLET, SC 29576-4381
(843) 652-8390
(843) 652-8399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24263
SC
208600000X
Surgery Physician
9500519
NC
2086S0129X
Vascular Surgery Physician
24263
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24263
MEDICAL LICENSE
SC
Enumeration date
09/20/2006
Last updated
01/30/2020
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