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
Phone: (423) 602-8400
Fax: (423) 602-8401
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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 |
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