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Contact Information

JASON A BROCKER, MD
55 FRUIT ST
BOSTON, MA02114-2621
 Phone: 617-724-4133
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JASON A BROCKER · (Male)

NPI Number 1952564395
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2008
Last updated 09/16/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • MA License # 293437
  • MD License # D76238
  • MO License # 2015021905
  • PA License # MD458636
  • TX License # N0661
Hospital affiliation(s)
  • ST DAVID'S SOUTH AUSTIN MEDICAL CENTER - (Acute Care)
    901 WEST BEN WHITE BLVD
    AUSTIN, TX 78704
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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