- Practice location
- 2200 NE Neff RD, Ste 202, Tai - Central Oregon Bend, Bend, OR 97701-4281
- Phone
- 541-388-7738
- Fax
- 541-312-0121
- Last updated
- November 1, 2012
Charles Edman Brockman is a Physical Therapist based in Bend, OR. Charles Edman Brockman practices in Bend, OR and has the professional credentials of PT. The NPI Number for Charles Edman Brockman is 1750367256 and holds a License No. 3101 (OR). The current practice location address for Charles Edman Brockman is 2200 NE Neff RD, Ste 202, Tai - Central Oregon Bend, Bend, OR 97701-4281 and can be reached out via phone at 541-388-7738 and via fax at 541-312-0121.
Provider Profile Details
- NPI Number
- 1750367256
- Provider Name
- Charles Edman Brockman
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2200 NE Neff RD, Ste 202, Tai - Central Oregon Bend, Bend, OR 97701-4281
- Phone Number
- 541-388-7738
- Fax Number
- 541-312-0121
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Other Names
- -- Chuck Brockman (Other Name)
- Provider Enumeration Date
- December 16, 2005
- Last Update Date
- November 1, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2200 NE Neff RD
Ste 202, Tai - Central Oregon Bend
Bend, OR 97701-4281 - City
- Bend
- State
- Oregon
- Zip
- 97701-4281
- Phone Number
- 541-388-7738
- Fax Number
- 541-312-0121
Provider Business Mailing Address Details
- Address
- 16083 SW Upper Boones Ferry RD
Ste. 300
Tigard, OR 97224-7736 - City
- Tigard
- State
- OR
- Zip
- 97224-7736
- Phone Number
- 800-219-8835
- Fax Number
- 503-639-9699
License Information
- License Number (1)
- 3101
- License State (1)
- OR
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License Number (2)
- 1653
- License State (2)
- MT
- Taxonomy (2)
- Physical Therapist · 225100000X
- License Number (3)
- 912
- License State (3)
- NV
- Taxonomy (3)
- Physical Therapist · 225100000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Charles E Brockman, PT?
The NPI number of Charles E Brockman, PT is 1750367256. It was assigned on December 16, 2005 and is currently active in the NPPES registry.
What is the specialty of Charles E Brockman, PT?
Charles E Brockman, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in OR under license number 3101.
Where does Charles E Brockman, PT practice?
The practice location is 2200 NE Neff RD, Ste 202, Tai - Central Oregon Bend, Bend, OR 97701-4281. The office can be reached at 541-388-7738 (phone) or 541-312-0121 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750367256 directly on the NPPES registry website.