| Dr William Jordan Brockway, MD | |
| 3333 S Pinnacle Hills Pkwy Ste 300a, Rogers, AR 72758-9000 | |
| (479) 271-7077 | |
| (479) 271-7035 | 
| Full Name | Dr William Jordan Brockway | 
|---|---|
| Gender | Male | 
| Speciality | Urology | 
| Location | 3333 S Pinnacle Hills Pkwy Ste 300a, Rogers, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346703832 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | U6691 (Texas) | Secondary | 
| 208800000X | Urology | 2025004031 (Missouri) | Secondary | 
| 208800000X | Urology | E-18732 (Arkansas) | Primary | 
| Entity Name | Urology San Antonio P A | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346285772 PECOS PAC ID: 3274429311 Enrollment ID: O20040731000077 | 
| Entity Name | Seton Family Of Doctors | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588997233 PECOS PAC ID: 0941333280 Enrollment ID: O20100806000260 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr William Jordan Brockway, MD Po Box 776084, Chicago, IL 60677-6084 Ph: (479) 271-7077 | Dr William Jordan Brockway, MD 3333 S Pinnacle Hills Pkwy Ste 300a, Rogers, AR 72758-9000 Ph: (479) 271-7077 | 
| Jan Thomas Turley, MD Urology Medicare: Not Enrolled in Medicare Practice Location: #2 Halsted Cr, Rogers, AR 72756 Phone: 479-636-9669 Fax: 479-636-0743 | |
| Dr. Orlando F Aguilar-guzman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2100 S 54th St, Rogers, AR 72758 Phone: 479-271-7077 Fax: 479-271-7035 | |
| Dr. Michael Jed Shulman, MD Urology Medicare: Medicare Enrolled Practice Location: 1019 W Cypress St, Rogers, AR 72756 Phone: 479-636-6551 Fax: 479-631-3842 | |
| Dr. Matthew C Kincade, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3333 S Pinnacle Hills Pkwy Ste 300a, Rogers, AR 72758 Phone: 479-271-7077 Fax: 479-271-7035 | |
| Dr. Mark Alan Hewett, M.D. Urology Medicare: Medicare Enrolled Practice Location: 2100 S 54th St, Rogers, AR 72758 Phone: 479-271-7077 Fax: 479-271-7035 | |
| Dr. Robert A Zimmerman, MD, PHD Urology Medicare: Accepting Medicare Assignments Practice Location: 200 S 20th St, Suite C, Rogers, AR 72758 Phone: 479-636-9669 |