Jerry Ray Brockman, DDS

General Practice Dentistry · Oneill, NE

Individual Active NPI

NPI number 1790863215

Practice location

126 N 5TH St
Oneill, NE 68763-1565
Phone
(402) 336-4812
Fax
(402) 336-4645

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NPI record

NPI
1790863215
Entity type
Individual (Type 1)
Enumeration date
November 1, 2006
Last updated
November 5, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4499 NE

Mailing address

PO Box 815
Oneill, NE 68763-0815
Phone
(402) 336-4812
Fax
(402) 336-4645

About Dr. Brockman

Jerry Ray Brockman, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 126 N 5TH St, Oneill, NE 68763-1565. The NPI number 1790863215 was assigned on November 1, 2006 and the record was last updated on November 5, 2021.

Dr. Brockman lists a license in the registry: #4499 (NE) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry Ray Brockman, DDS?

The NPI number is 1790863215.

What is the phone number of Dr. Brockman?

The phone number listed for the practice location is (402) 336-4812.

Where is Dr. Brockman located?

126 N 5TH St, Oneill, NE 68763-1565.

What is the taxonomy code for Dr. Brockman?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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