MILLIE B BROCKIE PA
NPI 1174566798
Physician Assistant in Tuba City, AZ

Q: What is Millie Brockie's NPI number?

The NPI number for Millie Brockie is 1174566798. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Millie Brockie's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Millie Brockie was last updated on July 8, 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.

Active since June 13, 2006

167 NORTH MAIN STREET, TUBA CITY, AZ 86045(928) 283-2501(928) 283-2677 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Millie B Brockie Pa NPPES

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

MILLIE B BROCKIE PA (NPI 1174566798) is an individual physician assistant in Tuba City, Arizona, licensed in Arizona (3018) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1174566798

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMILLIE B BROCKIECredential: PA

Location Address167 NORTH MAIN STREETTuba City, AZ 86045-0600

Mailing AddressPo Box 600, 167 North Main StreetTuba City, AZ 86045-0600 · (928) 283-2501 · Fax (928) 283-2677

Phone(928) 283-2501

Fax(928) 283-2677

Sole ProprietorNo

Enumeration DateJune 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174566798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 3018

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

167 NORTH MAIN STREET, Tuba City, AZ 86045

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Other Identifiers 1

Medicaid451584AZ

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.

JIMMIE L TAYLOR RN

Registered Nurse (Ambulatory Care)