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Individual

DR. EDWARD BRITT BROCKMAN I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
519 STATE ST, NEW ALBANY, IN 47150-3620
(812) 948-0616
(812) 949-3447
Mailing address
519 STATE ST, NEW ALBANY, IN 47150-3620
(812) 948-0616
(812) 949-3447

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01039106A
IN
207W00000X
Ophthalmology Physician
25140
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000042632
ANTHEM
KY
05
100076460
IN
05
1066494
KY
05
2434616000
KY
05
64251408
KY
Enumeration date
07/12/2005
Last updated
11/11/2025
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