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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES EDMAN BROCKMAN, PT

Active

CHARLES EDMAN BROCKMAN, PT is a Physical Therapy Assistant healthcare provider located in BEND, Oregon. NPI 1750367256 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BEND, OR

Registration Details

NPI Number
1750367256
Provider Type
Individual
Gender
Male
NPI Issued
Dec 16, 2005 (20.66354811971 yrs)
Last Updated
Nov 1, 2012
Licenses
3101 (OR)
1653 (MT)
912 (NV)

Practice Information

Address
2200 NE NEFF RD
STE 202, TAI - CENTRAL OREGON BEND
BEND, OR, 977014281
Browse OR providers · Browse ZIP 97701
Phone
5413887738
Fax
5413120121
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in BEND, OR

Name Credential NPI
JENNIFER ROST PT 1568465508
MRS. MORAG HELEN, SHAW SAMPSON P.T. 1356343263
JONATHAN P SAMPSON PT 1124010160
MR. DONALD JAMES CHIAPETTA PT 1154313187
MS. JANET WARNER GOEWEY P.T. 1699768317
KATHLEEN MARIE BRADLEY PT 1851373989
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.