Individual
HAL BROCKBANK JENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
759 CHESTNUT ST, BAYSTATE MEDICAL CENTER, DIVISION OF ACADEMIC AFFAIRS, SPRINGFIELD, MA 01199-1001
(413) 794-5588
(413) 794-0300
Mailing address
759 CHESTNUT ST, BAYSTATE MEDICAL CENTER, DIVISION OF ACADEMIC AFFAIRS, SPRINGFIELD, MA 01199-1001
(413) 794-5588
(413) 794-0300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
226506
MA
2080P0208X
Pediatric Infectious Diseases Physician
226506
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P08277181
—
TX
Enumeration date
09/02/2006
Last updated
09/11/2025
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