Organization
S. BRENT BROTZMAN, MD PA
Active
Other names
Brotzman Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BRENT BROTZMAN MD (DOCTOR)
(512) 977-0000
Entity
Organization
Contact information
Practice address
11652 JOLLYVILLE RD, AUSTIN, TX 78759-3935
(512) 977-0000
(512) 977-0020
Mailing address
11652 JOLLYVILLE RD, AUSTIN, TX 78759-3935
(512) 977-0000
(512) 977-0020
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
H6077
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82160X
BCBS
TX
Enumeration date
05/21/2007
Last updated
04/12/2016
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