Doctor Name: | DR. BROCK DOUGLAS BURKMAN |
NPI Number: | 1306002357 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | |
Business Practice Address: | 1503 S. 169 Us Hwy Suite E Smithville, MO - 64089 |
Business Phone Number: | 8168733131 |
Business Fax Number: | 8773349756 |
Mailing Address: | 1503 S. 169 Us Hwy, Suite E SMITHVILLE |
State: | MO |
Postal Code: | 64089 |
Phone Number: | 8168733131 |
Fax Number: | 8773349756 |
NPI Enumeration Date: | 07/30/2008 |
NPI Last Update Date: | 06/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |