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Next Update: Thursday, December 19, 2024 12:00 PM CST
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BROCKMAN, TODD ALAN
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
2000 SOUTH WHEELING
SUITE 403
TULSA OK 74104-5639
Address last updated on 11/29/2023 |
| Phone #: |
(918) 742-5513 |
| Fax #: |
(918) 742-5570 |
| County: |
TULSA |
| License: |
15602 |
| Dated: |
1/30/1986 |
| Expires: |
1/1/2026 |
| License Type: |
Medical Doctor |
| Specialty: |
Ophthalmology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ of TX Med Sch at Houston, Houston Tx 77225 |
| Graduated: |
6 /
1982 |
| CME Year: |
2028 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF OPHTHALMOLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
BCE Emergis
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
CompMed
Coventry Health Care National Network
Dept of Rehabilitation Services (DRS)
First Health
Great West Healthcare
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
PPO Oklahoma
Preferred Community Choice
Private Healthcare Systems (PHCS)
Prudential Health Care Plan, Inc
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
UniCare Health Plans of Oklahoma
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Worknet of Oklahoma |
| Hospital Privileges: |
Ascension St. John Medical Center
Tulsa, OK
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