Bonita L Brockman, MD in Austell, GA - Pediatrics

Bonita L Brockman, MD is a Pediatrics physician based in Austell, Georgia. Bonita L Brockman is licensed to practice in Georgia (license number 045410) and her current practice location is 2041 Mesa Valley Way, Ste 185, Austell, Georgia. She can be reached at her office (for appointments etc.) via phone at (404) 785-8900.

NPI number for Bonita L Brockman is 1962443515 and her current mailing address is 361 Nelms Ave, Atlanta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962443515.

Contact Information

	Bonita L Brockman, MD
	2041 Mesa Valley Way, Ste 185, Austell, GA 30106
	(404) 785-8900
	(404) 785-8948

Physician's Profile

Full Name	Bonita L Brockman
Gender	Female
Speciality	Pediatrics
Location	2041 Mesa Valley Way, Austell, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1962443515
Provider Enumeration Date: 06/08/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Bonita L Brockman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962443515	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	045410 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bonita L Brockman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bonita L Brockman, MD 361 Nelms Ave, Atlanta, GA 30307 Ph: (404) 822-7712	Bonita L Brockman, MD 2041 Mesa Valley Way, Ste 185, Austell, GA 30106 Ph: (404) 785-8900

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Pediatrics Doctors in Austell, GA

Mrs. Joli Ann Mccarthy, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000
Kelly Solms Garrison, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd # 22, Austell, GA 30106 Phone: 770-732-4022 Fax: 770-732-4023
Mrs. Faye E. Spector Maloney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1664 Mulkey Rd, Austell, GA 30106 Phone: 770-941-7709 Fax: 770-941-6441
Dr. Shelly-ann Michela Salandy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1680 Mulkey Rd, Suite E, Austell, GA 30106 Phone: 770-941-5107 Fax: 770-944-1013
Dr. Patricia Anne Wolfe, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd, Suite 201, Austell, GA 30106 Phone: 770-819-9262 Fax: 678-945-1295
Dr. Annisha Ellis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd, Suite 201, Austell, GA 30106 Phone: 770-819-9262 Fax: 678-945-1295
Dr. Jennifer N Vernon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd, Suite 201, Austell, GA 30106 Phone: 404-316-6269

Bonita L Brockman, MD - Pediatrics in Austell, GA