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Contact Information

TYLER F BROCKMAN, DO
3 E. APPLEBY RD
SUITE 301
FAYETTEVILLE, AR72703
 Phone: 479-404-1200
 Fax: 479-404-1201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for TYLER F BROCKMAN · (Male)

NPI # 1407397730
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/20/2017
Last updated 05/10/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # E-13314
  • NE License # 2028
Hospital affiliation(s)
  • WASHINGTON REGIONAL MED CTR AT NORTH HILLS - (Acute Care)
    3215 N NORTH HILLS BLVD
    FAYETTEVILLE, AR 72703
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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