Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWIN CHAMBERLAYNE BROCKENBROUGH, MD
ActiveDR. EDWIN CHAMBERLAYNE BROCKENBROUGH, MD is a Vascular Surgery healthcare provider located in HUNTS POINT, Washington. NPI 1124063557 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · HUNTS POINT, WA
Registration Details
- NPI Number
- 1124063557
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2006 (20.167579678404 yrs)
- Last Updated
- Aug 29, 2007
- License
-
8967 (WA)
Practice Information
- Address
-
3630 HUNTS POINT RDHUNTS POINT, WA, 980041114Browse WA providers · Browse ZIP 98004
- Phone
- 4254546432
- Fax
- 4254540205
- Primary Specialty
-
Vascular Surgery
2086S0129X
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.