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Individual

BRIAN P BROCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1616 COVINGTON ST, YOUNGSTOWN, OH 44510-1244
(330) 747-9215
(330) 747-9248
Mailing address
1616 COVINGTON ST, YOUNGSTOWN, OH 44510-1244
(330) 747-9215
(330) 747-9248

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35-066899
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000106032
UNISON
OH
01
000000138342
ANTHEM
OH
01
0600127
UNITED HEALTHCARE
OH
05
0976770
OH
01
4597438
AETNA
OH
01
7405468
CIGNA
OH
Enumeration date
12/09/2005
Last updated
09/11/2014
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