Individual
DR. BRIAN JOSEPH BROCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
11322 Q ST, OMAHA, NE 68137-3679
(402) 331-3480
(402) 592-0316
Mailing address
11322 Q ST, OMAHA, NE 68137-3679
(402) 331-3480
(402) 592-0316
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
906
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12519
MIDLANDS CHOICE
NE
01
—
350039898
RAILROAD MEDICARE
NE
01
—
36644
BLUE CROSS BLUE SHIELD
NE
05
—
71060152200
—
NE
Enumeration date
10/31/2005
Last updated
02/05/2015
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