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RICKY BROCKBERG
NPI 1235631052
Secured Medical Transport (VAN) in Mankato, MN

Active since March 07, 2018
931 MADISON AVE STE 203, MANKATO, MN 56001(507) 344-8900(866) 920-6333 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2021, May 29, 2019, Mar 7, 2018 (3 updates tracked since 2018).

About Ricky Brockberg NPPES

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

RICKY BROCKBERG (NPI 1235631052) is an individual secured medical transport (van) provider in Mankato, Minnesota, licensed in Minnesota (382785) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1235631052
Entity TypeIndividualMale
Primary Taxonomy343800000X
Provider Legal NameRICKY BROCKBERG
Location Address931 MADISON AVE STE 203Mankato, MN 56001-6995
Mailing Address931 Madison Ave Ste 203Mankato, MN 56001-6995 · (507) 344-8900
Phone(507) 344-8900
Fax(866) 920-6333
Sole ProprietorYes
Enumeration DateMarch 7, 2018
Last NPPES UpdateSeptember 17, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2021
✔ NPI 1235631052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySecured Medical Transport (VAN)Transportation Services
Taxonomy Code343800000X
License✔ Licensed in MN · 382785
Definition

A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.

931 MADISON AVE STE 203, Mankato, MN 56001
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Other Providers at the Same Location NPPES

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

CARE TRANSPORT SERVICE LLC
Non-emergency Medical Transport (VAN)
931 MADISON AVE STE 203
MANKATO, MN 56001
Blue Earth County (507) 344-8900

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 Ricky Brockberg's NPI number?

The NPI number for Ricky Brockberg is 1235631052. It was assigned to this individual provider in the NPPES registry on March 7, 2018.

Where is Ricky Brockberg located?

Ricky Brockberg practices at 931 Madison Ave Ste 203, Mankato, MN 56001. The listed phone number is (507) 344-8900.

What is Ricky Brockberg's specialty?

The primary specialty registered for this NPI is Secured Medical Transport (VAN) with taxonomy code 343800000X.

When was this NPI record last updated?

The NPPES record for Ricky Brockberg was last updated on September 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.