MS. JACQUELINE L BROCKMAN RD, CDN, CLT
NPI 1639381262
Dietitian, Registered in Brooklyn, NY

NPI Status: Active since May 04, 2007

Contact Information

1818 NEWKIRK AVE
APT 6W
BROOKLYN, NY
ZIP 11226
Phone: (561) 827-0372

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Dietitian, Registered
Accepts Insurance

About JACQUELINE BROCKMAN

This page provides the complete NPI Profile along with additional information for Jacqueline Brockman, a provider established in Brooklyn, New York with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1639381262 assigned on May 2007. The practitioner's primary taxonomy code is 133V00000X with license number 933767 (NY). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI: 1639381262
Provider Name: MS. JACQUELINE L BROCKMAN RD, CDN, CLT
Gender: Female
Entity Type: Individual
Location Address: 1818 NEWKIRK AVE APT 6W BROOKLYN, NY 11226
Location Phone: (561) 827-0372
Mailing Address: 1818 NEWKIRK AVE APT 6W BROOKLYN, NY 11226
Mailing Phone: (561) 827-0372
Is Sole Proprietor?: Yes
Enumeration Date: 05-04-2007
Last Update Date: 03-25-2022
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Location Map

Secondary Locations

4235 Hillsboro Pike Ste 300
Nashville, TN 37215
(561) 827-0372

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dietitian, Registered
Taxonomy Code: 133V00000X
Type: Dietary & Nutritional Service Providers
License No.: 933767
License State: NY
Taxonomy Description: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

BlueCross BlueShield of Tennessee

BlueCross B07S HSA - EPO
BlueCross B15S $0 virtual care from Teladoc Health � - EPO
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
933767	OTHER (01)	NY	CDR

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	3	9	3	8	1	2	6	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	6	9	6	8	2	2	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 8 + 2 + 2 + 1 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2									2

The NPI number 1639381262 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.