Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY RAY BROCKMAN, DDS
Active Sole ProprietorDR. JERRY RAY BROCKMAN, DDS is a General Dentistry healthcare provider located in ONEILL, Nebraska. NPI 1790863215 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ONEILL, NE
Registration Details
- NPI Number
- 1790863215
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.813879650703 yrs)
- Last Updated
- Nov 5, 2021
- License
-
4499 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
126 N 5TH STONEILL, NE, 687631565Browse NE providers · Browse ZIP 68763
- Phone
- 4023364812
- Fax
- 4023364645
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ONEILL, NE
| Name | Credential | NPI |
|---|---|---|
| DR. ELIZABETH ANN JOHNSON | D.D.S. | 1326112186 |
| DR. MARY KATHRYN KERSENBROCK | D.D.S. | 1114238144 |
| DR. JOHN PAUL KERSENBROCK | DDS | 1144750449 |
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.