Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN BRADLEY BROCKER, PHARMD
Active Sole ProprietorPharmacotherapy Specialist · SHAWNEE, KS
Registration Details
- NPI Number
- 1083109771
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2018 (7.8198751916909 yrs)
- Last Updated
- Jun 26, 2018
- License
-
1-13428 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16100 W 65TH STSHAWNEE, KS, 662179301Browse KS providers · Browse ZIP 66217
- Phone
- 9132683545
- Fax
- 9132683828
- Primary Specialty
-
Pharmacotherapy Specialist
1835P1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.