Brockman, Robert J
Brockman, Robert J is an individual health care provider with primary practice located at 75 Baylor Dr Ste 290 , Bluffton SC 29910-8965. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Brockman, Robert J can be contacted via phone (843) 705-8888.Contact Information
Primary practice address
75 Baylor Dr Ste 290
Bluffton SC 29910-8965
Phone: (843) 705-8888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 9500519 | North Carolina |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 24263 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 24263 | South Carolina |
Profile Details
| NPI number | 1174621767 |
|---|---|
| LBN Legal business name | Brockman, Robert J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jan 30th, 2020 - about 6 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 | 1174621767 | NPPES |
| South Carolina | Other | 24263 | MEDICAL LICENSE |
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