Dr Edwin Chamberlayne Brockenbrough, MD is a
Surgery - Vascular Surgery physician based in Hunts Point, Washington. Dr Edwin Chamberlayne Brockenbrough is licensed to practice in Washington (license number 8967) and his current practice location is 3630 Hunts Point Rd, Hunts Point, Washington. He can be reached at his office (for appointments etc.) via phone at
(425) 454-6432.
NPI number for Dr Edwin Chamberlayne Brockenbrough is 1124063557 and his current mailing address is 3630 Hunts Point Rd, Hunts Point, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124063557.
Physician's Profile
Full Name | Dr Edwin Chamberlayne Brockenbrough |
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Gender | Male |
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Speciality | Surgery - Vascular Surgery |
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Location | 3630 Hunts Point Rd, Hunts Point, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124063557
- Provider Enumeration Date: 06/19/2006
- Last Update Date: 08/29/2007
Medical Identifiers
Medical identifiers for Dr Edwin Chamberlayne Brockenbrough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124063557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0129X | Surgery - Vascular Surgery | 8967 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edwin Chamberlayne Brockenbrough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Edwin Chamberlayne Brockenbrough, MD 3630 Hunts Point Rd, Hunts Point, WA 98004-1114 Ph: (425) 454-6432 | Dr Edwin Chamberlayne Brockenbrough, MD 3630 Hunts Point Rd, Hunts Point, WA 98004-1114 Ph: (425) 454-6432 |
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