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PAUL WILLIAM BROCKLEBANK II
NPI 1831886431
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since April 24, 2023PECOS Enrolled
1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 727-5658 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul William Brocklebank Ii NPPES

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

PAUL WILLIAM BROCKLEBANK II (NPI 1831886431) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831886431
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePAUL WILLIAM BROCKLEBANK II
Location Address1364 CLIFTON RD NEAtlanta, GA 30322-1059
Mailing Address100 Woodruff Cir Ne Ste 327Atlanta, GA 30322-1020
Phone(404) 727-5658
Sole ProprietorNo
Enumeration DateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1831886431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1364 CLIFTON RD NE, Atlanta, GA 30322
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul William Brocklebank Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

GREGORY WESTON
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 727-5658
RUTH FLAHERTY CCC-SLP
Physician Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-2000
JENNIFER MARIE SCHNETZER RN
Nurse Anesthetist, Certified Registered
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (679) 378-1093
PETER MORAN PHARMD
Pharmacist (Critical Care)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-2000
SARAH ELIZABETH DUNSEATH MD
Anesthesiology (Critical Care Medicine)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-7777
DUYEN M VO PHARMD
Pharmacist (Pharmacotherapy)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-7273
CHRISTINE CARPENTER
Anesthesiologist Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-2000
DR. CHRISTOPHER VINCENT BARRY MD, PHD, MPH
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 727-5658

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 Paul Brocklebank's NPI number?

The NPI number for Paul Brocklebank is 1831886431. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Paul Brocklebank located?

Paul Brocklebank practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 727-5658.

What is Paul Brocklebank's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Paul Brocklebank enrolled in Medicare?

Yes. Paul Brocklebank is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Brocklebank was last updated on April 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.