Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIRK EDWARD BROCKMAN, M.D.
ActiveDR. KIRK EDWARD BROCKMAN, M.D. is a Family Medicine healthcare provider located in ST. CLAIR, Missouri. NPI 1235139221 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ST. CLAIR, MO
Registration Details
- NPI Number
- 1235139221
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2005 (20.858489587352 yrs)
- Last Updated
- Mar 11, 2015
- License
-
R2F53 (MO)
Practice Information
- Address
-
1001 CARDWELL STST. CLAIR, MO, 63077Browse MO providers · Browse ZIP 63077
- Phone
- 6366293300
- Fax
- 6366297377
- Primary Specialty
-
Family Medicine
207Q00000X
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.