Individual
DR. REGINA P. BROCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3951 BARDSTOWN RD, SPRINGFIELD, KY 40069-8450
(859) 336-8446
Mailing address
PO BOX 327, SPRINGFIELD, KY 40069-0327
(859) 336-8446
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4174
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000256734
ANTHEM
KY
01
—
0269566
CIGNA
KY
01
—
1220237
NGS
KY
01
—
2448139000
PASSPORT ADVANTAGE
KY
01
—
50006949
PASSPORT HEALTH PLAN
KY
01
—
616822
ACN
KY
05
—
85003374
—
KY
Enumeration date
02/21/2007
Last updated
10/24/2011
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