MEDICARE: BRIAN P. BROCKER M.D., INC

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	174400000X	Specialist	35-066899	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	9282452	OTHER	OH	MEDICARE-YNGS
12	9282451	OTHER	OH	MEDICARE-WARREN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7405468	OTHER	OH	CIGNA
3	4597438	OTHER	OH	AETNA
4	0600127	OTHER	OH	UNITED HEALTHCARE
5	285520215005	OTHER	OH	MEDICAL MUTUAL-WARREN LOC
6	285520215001	OTHER	OH	MEDICAL MUTUAL-YNGS LOC
7	000000138342	OTHER	OH	ANTHEM
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	1507678	OTHER	OH	GATEWAY
10	28552021500	OTHER	OH	BWC PROVIDER #
11	000000106032	OTHER	OH	UNISON

General Provider Information

NPI Number	:	1134316664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIAN P. BROCKER M.D., INC

Provider Business Mailing Address
First Line	:	1616 COVINGTON ST
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44510-1244
Country	:	US
Telephone Number	:	330-747-9215
Fax Number	:	330-747-9248

Provider Business Practice Location Address
First Line	:	1616 COVINGTON ST
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44510-1244
Country	:	US
Telephone Number	:	330-747-9215
Fax Number	:	330-747-9248

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. BRIAN P. BROCKER
Credential	:	M.D.
Telephone Number	:	330-747-9215

Provider Enumeration Date	:	09/28/2007
Last Update Date	:	07/16/2009

Similar Medicare Providers

1578548830 — BRIAN P BROCKER M.D.
Practice Location Address:

1616 COVINGTON ST
YOUNGSTOWN, OH
44510-1244

Practice Phone: 330-747-9215
Practice Fax: 330-747-9248

1336279132 — YOUNGSTOWN NEUROLOGIC ASSOCIATES
Practice Location Address:

1616 COVINGTON ST
YOUNGSTOWN, OH
44510-1244

Practice Phone: 330-747-9215
Practice Fax: 330-747-9248

1376730838 — ROBERT J. BROCKER M.D., INC.
Practice Location Address:

1616 COVINGTON ST
YOUNGSTOWN, OH
44510-1244

Practice Phone: 330-747-9215
Practice Fax: 330-747-9248

1710694278 — QUEEN ESTHER HICKS
Practice Location Address:

3072 DECAMP RD
YOUNGSTOWN, OH
44511-1244

Practice Phone: 216-253-5605
Practice Fax:

1083558159 — MS. MIANOA MARGARETTE UY CHIN M.D.
Practice Location Address:

ST. ELIZABETH INTERNAL MEDICINE, 1001 COVINGTON ST.
YOUNGSTOWN, OH
44510-1617

Practice Phone: 330-480-2616
Practice Fax:

1598609596 — RAJAVI RANDHIRSINGH GANESH MBBS
Practice Location Address:

1001 COVINGTON ST
YOUNGSTOWN, OH
44510-1617

Practice Phone: 330-480-2616
Practice Fax:

Directions to “BRIAN P. BROCKER M.D., INC ” 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 © 2007-2026 (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.