MEDICARE: MR. ROBERT HARRY BROCKMAN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	04987	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	10206	OTHER	IA	BCBS

General Provider Information

NPI Number	:	1053312967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT HARRY BROCKMAN DC

Provider Business Mailing Address
First Line	:	PO BOX 352
Second Line	:
City	:	FORT MADISON
State	:	IA
Zip	:	52627-0352
Country	:	US
Telephone Number	:	319-372-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2311 AVENUE L STE 3
Second Line	:
City	:	FORT MADISON
State	:	IA
Zip	:	52627-4031
Country	:	US
Telephone Number	:	319-372-3800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	01/21/2010

Similar Medicare Providers

1043848237 — CITY OF FORT MADISON
Practice Location Address:

2335 AVENUE L
FORT MADISON, IA
52627-4031

Practice Phone: 319-372-6472
Practice Fax:

1134676380 — MARTHA PAWLICKI
Practice Location Address:

4031 NE 28TH AVE
FORT LAUDERDALE, FL
33308-5730

Practice Phone: 419-377-9357
Practice Fax:

1366931719 — CREATION OF BEAUTY INC.
Practice Location Address:

4031 CHENAULT ST
FORT WORTH, TX
76111-6907

Practice Phone: 817-353-0603
Practice Fax: 817-838-3737

1801883608 — TVS RX INC
Practice Location Address:

5470 W MADISON ST
CHICAGO, IL
60644-4031

Practice Phone: 773-379-7773
Practice Fax: 773-379-1020

1316960875 — DR. ISAIAH J PERRY M.D.
Practice Location Address:

5470 W MADISON ST
CHICAGO, IL
60644-4031

Practice Phone: 773-287-7900
Practice Fax: 773-287-5923

1891859559 — MOUNT SINAI COMMUNITY FOUNDATION
Practice Location Address:

5470 W MADISON ST
CHICAGO, IL
60644-4031

Practice Phone: 773-378-4100
Practice Fax: 773-287-5923

Directions to “ MR. ROBERT HARRY BROCKMAN DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.