Individual
JOHN CARLOS BROCKINGTON
Active
Individual
JOHN CARLOS BROCKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
17400
AL
2084N0400X
Neurology Physician
3110
WI
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
MD482308
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009901225
—
AL
05
—
009938017
—
AL
05
—
04970355
—
MS
01
—
051509854
BLUE CROSS
AL
01
—
051509855
BLUE CROSS
AL
05
—
051509855
—
AL
05
—
100286787
—
WI
01
—
130025436
RAILROAD MEDICARE
AL
Enumeration date
06/07/2006
Last updated
10/18/2024
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