DUSTIN BROCKMAN - NPI 1124892179 - Peer Specialist in Bartlesville, OK

Q: What is Dustin Brockman's NPI number?

The NPI number for Dustin Brockman is 1124892179. It was assigned to this individual provider in the NPPES registry on November 9, 2023.

Q: What is Dustin Brockman's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Brockman was last updated on November 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dustin Brockman NPPES

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

DUSTIN BROCKMAN (NPI 1124892179) is an individual peer specialist in Bartlesville, Oklahoma and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1124892179

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameDUSTIN BROCKMAN

Location Address700 S PENN AVEBartlesville, OK 74003-3847

Mailing Address700 S Penn AveBartlesville, OK 74003-3847

Phone(918) 337-8080

Sole ProprietorNo

Enumeration DateNovember 9, 2023

Last NPPES UpdateNovember 12, 2023

NPPES CertifiedNovember 12, 2023

✔ NPI 1124892179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

700 S PENN AVE, Bartlesville, OK 74003

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KIMBER JOANNA KINSEY

Counselor (Mental Health)