Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ross David Brockman, DMD

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1427587054

Ross David Brockman, DMD is a General Surgery in Shreveport, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2018, 8 years ago. Practices with Wk Oral and Maxillofacial Surgery Institute, a 4-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
8
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2017
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2508 Bert Kouns Industrial Loop Ste 410
Shreveport, LA 71118-3157
Phone: (318) 212-5944
Fax: (318) 212-5949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 331336 (LA)

Record details

NPI number1427587054
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 7, 2017
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2018 (8 years in practice)
Group practice Wk Oral And Maxillofacial Surgery Institute — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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