Brocker, Gerald K

Brocker, Gerald K is an individual health care provider with primary practice located at 975 E. Third Street , Chattanooga TN 37403-2147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Brocker, Gerald K can be contacted via phone (423) 602-8400.

Contact Information

Primary practice address
975 E. Third Street Chattanooga TN 37403-2147
Fax: (423) 602-8401
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD22077 Tennessee
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 043334 Georgia

Profile Details

NPI number 1669589776
LBN Legal business name Brocker, Gerald K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Nov 10th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669589776 NPPES
Tennessee Other 3038764 BLUE CROSS BLUE SHIELD OF TN
Tennessee MEDICAID 000500596A BLUE CROSS BLUE SHIELD OF TN
Tennessee MEDICAID Q002744 BLUE CROSS BLUE SHIELD OF TN
Tennessee MEDICAID 009204600 BLUE CROSS BLUE SHIELD OF TN
Tennessee Other 050047698 BLUE CROSS BLUE SHIELD OF TN
Tennessee MEDICAID 890692T BLUE CROSS BLUE SHIELD OF TN
Tennessee Other N348394 BLUE CROSS BLUE SHIELD OF TN

Popular Providers