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Contact Information

DANIEL S BROCKMAN, DO
462 GRIDER ST
BUFFALO, NY14215-3021
 Phone: 716-574-1551
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DANIEL S BROCKMAN · (Male)

NPI Number 1144434762
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/10/2007
Last updated 07/23/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 249468
  • PA Medicaid 101924377
  • Other 2161248 MAMSI-WMG
  • MD Other 897588 CAREFIRST MD BCBS
  • PA Other 9203104 AETNA
  • PA Other 20067553 AMERIHEALTH MERCY-WMG
  • PA Other 50069804 CAPITAL BLUE CROSS-WMG
  • PA Other 1566797 GATEWAY-WMG
  • PA Other 111167 GEISINGER
  • PA Other 1969203 HIGHMARK BLUE SHIELD
  • PA Other 210805 JOHNS HOPKINS
  • PA Other 212476 UNISON-WMG
Hospital affiliation(s)
  • ERIE COUNTY MEDICAL CENTER - (Acute Care)
    462 GRIDER STREET
    BUFFALO, NY 14215
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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