Jacob Brockmann, PA-C
Jacob Brockmann, PA-C is a Physician Assistant in Glendale, Arizona. Qualified in 2022, 4 years ago. Practices with Toca at Banner Health LLC, a 26-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 4
- Licensed in
- AZ
- In the registry since
- 2022
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
18700 N 64th Dr Ste 205Glendale, AZ 85308-7112
Phone: (602) 277-6211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Orthopaedic Surgery) Physician (primary) | Taxonomy 207XX0005X · Licence 9130 (AZ) |
|---|
Record details
| NPI number | 1861121212 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 9, 2022 |
| Last updated in NPPES | June 9, 2022 |
| Certification date | May 25, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Toca At Banner Health Llc — 26 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Glendale
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Toca at Banner Health LLC
18700 N 64th Dr Ste 220, Glendale, AZ 85308-7112 · (602) 277-6211