Individual
DR. JASON CLIFFORD BROOKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST NELSON 2 133, BALTIMORE, MD 21287-0010
(410) 955-5608
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
(410) 955-5608
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
221786
MA
207L00000X
Anesthesiology Physician
Primary
D72455
MD
207L00000X
Anesthesiology Physician
MD439683
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
D72455
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD439683
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046649200
—
MD
Enumeration date
08/10/2007
Last updated
04/30/2020
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