Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

Return to Search Licensees page

BROCKMAN, MANUEL J       
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.
Practice Address: PHYSICIAN HOUSECALLS LLC
101 W HEFNER RD
OKLAHOMA CITY OK 73114

Address last updated on 9/1/2024
Phone #: (405) 896-8058
Fax #:
County: OKLAHOMA
License: 40229
Dated: 10/19/2022
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Palliative Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 2018
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Hospice and Palliative Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PHYSICIAN HOUSECALLS LLC
101 W HEFNER RD
OKLAHOMA CITY OK 73114

Phone #: (405) 896-8058
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JULIE HABERLY APRN 99350
BROOKE HENDERSON APRN 105738
KELLY JOHNSON APRN 101147
AMELIA TINNIN APRN 6646
JESSICA WARDWORTH APRN 10120
WENDY WILBUR APRN 92170

Return to Search Licensees page