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ROSS DAVID BROCKMAN DMD
NPI 1427587054
Oral & Maxillofacial Surgery in Shreveport, LA

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
2508 BERT KOUNS INDUSTRIAL LOOP STE 410, SHREVEPORT, LA 71118(318) 212-5944(318) 212-5949 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2024, Jun 7, 2017 (2 updates tracked since 2017).

About Ross David Brockman Dmd NPPES

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

ROSS DAVID BROCKMAN DMD (NPI 1427587054) is an individual oral & maxillofacial surgery provider in Shreveport, Louisiana, licensed in Louisiana (331336) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2018).

NPPES Registry Identity

NPI1427587054
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameROSS DAVID BROCKMANCredential: DMD
Location Address2508 BERT KOUNS INDUSTRIAL LOOP STE 410Shreveport, LA 71118-3157
Mailing Address2508 Bert Kouns Industrial Loop Ste 410Shreveport, LA 71118-3157 · (318) 212-5944 · Fax (318) 212-5949
Phone(318) 212-5944
Fax(318) 212-5949
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2018
Enumeration DateJune 7, 2017
Last NPPES UpdateMay 1, 20252 updates tracked since enumeration
NPPES CertifiedMay 1, 2025
✔ NPI 1427587054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in LA · 331336
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
2508 BERT KOUNS INDUSTRIAL LOOP STE 410, Shreveport, LA 71118
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ross David Brockman Dmd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800244898
PECOS Enrollment IDI20231201000989
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services27 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
24 services23 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

WK ORAL AND MAXILLOFACIAL SURGERY INSTITUTE
Dentist (Oral and Maxillofacial Surgery)
2508 BERT KOUNS INDUSTRIAL LOOP STE 410
SHREVEPORT, LA 71118
Caddo Parish (318) 716-4939
STAVAN YOGENDRA PATEL DDS, MD
Oral & Maxillofacial Surgery
2508 BERT KOUNS INDUSTRIAL LOOP STE 410
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5944
MAYANKKUMAR SAMIRKUMAR PATEL
Student in an Organized Health Care Education/Training Program
2508 BERT KOUNS INDUSTRIAL LOOP STE 410
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5944

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 Ross Brockman's NPI number?

The NPI number for Ross Brockman is 1427587054. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Ross Brockman located?

Ross Brockman practices at 2508 Bert Kouns Industrial Loop Ste 410, Shreveport, LA 71118. The listed phone number is (318) 212-5944.

What is Ross Brockman's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Ross Brockman enrolled in Medicare?

Yes. Ross Brockman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ross Brockman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Louisiana Healthcare Connections and 4 other insurers list Ross Brockman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ross Brockman affiliated with any hospitals?

According to CMS data, Ross Brockman is affiliated with Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Ross Brockman was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.