| Regina P. Brockman, D.c., Pllc | |
|
3951 Bardstown Rd, Springfield, KY 40069-8450 | |
| (859) 336-8446 | |
| Not Available |
| Full Name | Regina P. Brockman, D.c., Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3951 Bardstown Rd, Springfield, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932313830 | NPI | - | NPPES |
| 2719881000 | Other | KY | PASSPORT ADV. GROUP |
| 2448139000 | Other | KY | PASSPORT ADVANTAGE PROVID |
| 50010765 | Other | KY | PASSPORT HLTH GRP# |
| 50006949 | Other | KY | PASSPORT HLTH PROV# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4174 (Kentucky) | Primary |
| Provider Name | Regina P Brockman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881739555 PECOS PAC ID: 0547216202 Enrollment ID: I20111222000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Regina P. Brockman, D.c., Pllc Po Box 327, Springfield, KY 40069-0327 Ph: (859) 336-8446 | Regina P. Brockman, D.c., Pllc 3951 Bardstown Rd, Springfield, KY 40069-8450 Ph: (859) 336-8446 |
Delwyn Bruce Loughney, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1113 Lincoln Park Rd, Springfield, KY 40069 Phone: 859-336-7000 Fax: 859-336-9882 | |
Dr. Regina P. Brockman, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3951 Bardstown Rd, Springfield, KY 40069 Phone: 859-336-8446 |