Individual
MCNEAL BROCKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 W ROLLING CROSSROADS, SUITE 100, BALTIMORE, MD 21228-6280
(410) 869-0100
(470) 869-0460
Mailing address
6 STOCKMILL RD, APT 1, BALTIMORE, MD 21208-2558
(410) 655-9509
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0032904
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084
CAREFIRST DC
MD
05
—
04492
—
MD
01
—
213090
KAISER
—
01
—
2136469
MAMSI
—
01
—
2570547
AETNA HMO
—
01
—
35042306
CAREFIRST MARYLAND
MD
01
—
5226116
AETNA PPO
—
01
—
7064270010
CIGNA
—
Enumeration date
07/08/2006
Last updated
07/09/2007
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