Dr Kirk Edward Brockman, MD is a
Family Medicine physician based in St. Clair, Missouri. Dr Kirk Edward Brockman is licensed to practice in Missouri (license number R2F53) and his current practice location is 1001 Cardwell St, St. Clair, Missouri. He can be reached at his office (for appointments etc.) via phone at
(636) 629-3300.
NPI number for Dr Kirk Edward Brockman is 1235139221 and his current mailing address is 1001 Cardwell Street, St. Clair, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235139221.
Physician's Profile
| Full Name | Dr Kirk Edward Brockman |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1001 Cardwell St, St. Clair, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235139221
- Provider Enumeration Date: 07/30/2005
- Last Update Date: 03/11/2015
Medical Identifiers
Medical identifiers for Dr Kirk Edward Brockman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235139221 | NPI | - | NPPES |
| P01134547 | Other | MO | RAILROAD MEDICARE |
| 202458204 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | R2F53 (Missouri) | 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 Kirk Edward Brockman 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 Kirk Edward Brockman, MD
1001 Cardwell Street,
St. Clair, MO 63077
Ph: (636) 629-3300 | Dr Kirk Edward Brockman, MD
1001 Cardwell St,
St. Clair, MO 63077
Ph: (636) 629-3300 |
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