Individual
MCNEAL BROCKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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