Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB BROCKMANN, PA-C
ActiveJACOB BROCKMANN, PA-C is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in GLENDALE, Arizona. NPI 1861121212 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · GLENDALE, AZ
Registration Details
- NPI Number
- 1861121212
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2022 (4.1913541141021 yrs)
- Last Updated
- Jun 9, 2022
- License
-
9130 (AZ)
Practice Information
- Address
-
18700 N 64TH DR STE 205GLENDALE, AZ, 853087112Browse AZ providers · Browse ZIP 85308
- Phone
- 6022776211
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
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.