Brendon Douglas Brockmann, MD
Psychiatry & Neurology, Psychiatry in Riverside, CA. Individual provider (NPI-1).
NPI number1679815765
StatusActive
Last updated in NPPESJul 30, 2018
Details
- NPI
- 1679815765
- Entity type
- Individual (NPI-1)
- Name
- Brendon Douglas Brockmann
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2013
- Last updated
- Jul 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | A135079 | CA | Yes |
Practice location
2085 Rustin Ave Ste 2Riverside, CA 92507
Phone 951-509-8200 · Fax 951-358-6622
Mailing address
2085 Rustin Ave Ste 2Riverside, CA 92507-2498
Phone 951-509-8200 · Fax 951-358-6622
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