Individual
DR. DAVID L BROCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
5945 S 56TH ST, SUITE 100, LINCOLN, NE 68516-3394
(402) 420-2400
(402) 420-2418
Mailing address
5945 S 56TH ST, SUITE 100, LINCOLN, NE 68516-3394
(402) 420-2400
(402) 420-2418
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5766
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05286
BLUE CROSS PROVIDER NUMBE
NE
01
—
40694
DELTA PROVIDER NUMBER
NE
Enumeration date
10/26/2005
Last updated
08/02/2023
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