Search › Kansas › 207R00000X
Manuel Brockman, MD
NPI 1588152607 · on the registry since 2018 · sole proprietor
Practice
- Address
- 345 N Riverview St Ste 500
Wichita, KS 67203 - Phone
- (316) 616-1055
- Fax
- (855) 633-0585
- Organisation at this address
- Level Llc
Mobile Medical, Llc
Austin Med Group Inc
Mobile Medical Ii, Llc
Ennoble Hospice Ks, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 60
Additional practice sites
- 3209 S Broadway Ste 229, Edmond, OK
- 117 S Lexington St Ste 100, Harrisonville, MO
- 101 W Hefner Rd, Oklahoma City, OK
- 801 E Douglas Ave Fl 2nd, Wichita, KS
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207RH0002X
207R00000X - Licence states on file
- MO, OK, KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas