Whalio Doctors

NPI 1013961929

David J Brockman, MD

Practitioner Physical Medicine & Rehabilitation Physician South Bend, IN

Practice location

Address
53760 Generations Dr, South Bend, IN 46635-1539
Phone
(574) 247-4444
Fax
(574) 243-5555

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 4301060697 (MI)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 01040664A (IN)

Registry record

NPI
1013961929
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 May 2006
Record last updated
22 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.