SearchKansas207R00000X

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, Llc
Inferred 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