MEDICARE: DR. EDWIN CHAMBERLAYNE BROCKENBROUGH MD

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	2086S0129X	Vascular Surgery Physician	8967	WA

General Provider Information

NPI Number	:	1124063557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWIN CHAMBERLAYNE BROCKENBROUGH MD

Provider Business Mailing Address
First Line	:	3630 HUNTS POINT RD
Second Line	:
City	:	HUNTS POINT
State	:	WA
Zip	:	98004-1114
Country	:	US
Telephone Number	:	425-454-6432
Fax Number	:	425-454-0205

Provider Business Practice Location Address
First Line	:	3630 HUNTS POINT RD
Second Line	:
City	:	HUNTS POINT
State	:	WA
Zip	:	98004-1114
Country	:	US
Telephone Number	:	425-454-6432
Fax Number	:	425-454-0205

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

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	08/29/2007

Similar Medicare Providers

1588793939 — DR. MELVIN IRWIN FREEMAN M.D.
Practice Location Address:

4625 92ND AVE NE
YARROW POINT, WA
98004-1336

Practice Phone: 425-454-4868
Practice Fax: 425-454-5449

1780866012 — PETER A HASHISAKI MD PS
Practice Location Address:

9023 NE 47TH ST
YARROW POINT, WA
98004-1242

Practice Phone: 425-441-9330
Practice Fax:

1942295746 — POINT PHARMACY,LLC.
Practice Location Address:

900 HUNTS POINT AVE
BRONX, NY
10474-5402

Practice Phone: 718-328-3784
Practice Fax: 718-328-5061

1962492728 — DR. SUBODH GOPALDAS PATEL DDS
Practice Location Address:

902 HUNTS POINT AVE
BRONX, NY
10474-5403

Practice Phone: 718-328-2570
Practice Fax:

1821063298 — DR. SONYA GALE BROWN M.D.
Practice Location Address:

890 HUNTS POINT AVE
BRONX, NY
10474-5402

Practice Phone: 718-589-2141
Practice Fax:

1134135114 — DR. VIJU JACOB
Practice Location Address:

890 HUNTS POINT AVE
BRONX, NY
10474-5402

Practice Phone: 718-589-2141
Practice Fax:

Directions to “ DR. EDWIN CHAMBERLAYNE BROCKENBROUGH MD” 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.