BONITA L. BROCKMAN MD – NPI #1962443515
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

BONITA BROCKMAN is a physician located in AUSTELL, GA. NPPES has assigned the NPI number 1962443515 to BONITA BROCKMAN on June 08, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name EVAN LAVONNE BROCKMAN. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BONITA BROCKMAN below.

NPI Profile for
BONITA L. BROCKMAN

NPI Number
1962443515
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
BONITA L. BROCKMAN
Other Name: EVAN LAVONNE BROCKMAN
Credentials
MD
Primary location
2041 MESA VALLEY WAY
STE 185
AUSTELL, GA 30106
Phone: (404) 785-8900 Fax: (404) 785-8948
Mailing address
361 NELMS AVE
ATLANTA, GA 30307
Phone: (404) 822-7712 Fax:
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
GA 045410

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.