Individual
JARED SCOTT BROCKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1308 TUSCALOOSA AVE SW, BIRMINGHAM, AL 35211-1948
(205) 679-6325
(205) 783-8600
Mailing address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 926-2992
(205) 316-7675
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO.2974
AL
208000000X
Pediatrics Physician
P8647
TX
Other
Enumeration date
08/11/2011
Last updated
08/25/2022
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