Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOE B. BROCKMAN, PA-C
ActiveMedical Physician Assistant · SAN DIEGO, CA
Registration Details
- NPI Number
- 1801882055
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2005 (20.615235741712 yrs)
- Last Updated
- Jul 31, 2019
- License
-
PA15378 (CA)
Practice Information
- Address
-
2445 TRUXTON RD.SUITE 200SAN DIEGO, CA, 921066154Browse CA providers · Browse ZIP 92106
- Phone
- 8585547439
- Fax
- 6192725239
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| TRACI M MORGAN | PA-C | 1518955574 |
| MS. HEATHER N. BEAMAN | PA-C | 1164411369 |
| MRS. MELISSA JOYANN FORTNER | PAC | 1972584209 |
| EDWIN RIVERA | PHYSICIAN ASSISTANT | 1861474033 |
| MR. CHRISTOPHER WITT | PA-C | 1982675708 |
| MR. DOUGLAS LEE FAISON | PA-C | 1396717492 |
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.