DR. EDWIN CHAMBERLAYNE BROCKENBROUGH MD
NPI 1124063557
Surgery - Vascular Surgery in Hunts Point, WA

Q: What is Edwin Brockenbrough's NPI number?

The NPI number for Edwin Brockenbrough is 1124063557. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Q: What is Edwin Brockenbrough's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since June 19, 2006

3630 HUNTS POINT RD, HUNTS POINT, WA 98004(425) 454-6432(425) 454-0205 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Edwin Chamberlayne Brockenbrough Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWIN CHAMBERLAYNE BROCKENBROUGH MD (NPI 1124063557) is an individual vascular surgery provider in Hunts Point, Washington, licensed in Washington (8967) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1124063557

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. EDWIN CHAMBERLAYNE BROCKENBROUGHCredential: MD

Location Address3630 HUNTS POINT RDHunts Point, WA 98004-1114

Mailing Address3630 Hunts Point RdHunts Point, WA 98004-1114 · (425) 454-6432 · Fax (425) 454-0205

Phone(425) 454-6432

Fax(425) 454-0205

Sole ProprietorNo

Enumeration DateJune 19, 2006

Last NPPES UpdateAugust 29, 2007

✔ NPI 1124063557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in WA · 8967

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

3630 HUNTS POINT RD, Hunts Point, WA 98004

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Brockenbrough's NPI number?

The NPI number for Edwin Brockenbrough is 1124063557. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Edwin Brockenbrough located?

Edwin Brockenbrough practices at 3630 Hunts Point Rd, Hunts Point, WA 98004. The listed phone number is (425) 454-6432.

What is Edwin Brockenbrough's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Edwin Brockenbrough was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.