IndividualActive
Ricky Brockberg
NPI 1235631052 · Secured Medical Transport (VAN) · Mankato, MN
Provider details
- NPI number
- 1235631052
- Entity type
- Individual
- Primary specialty
- Secured Medical Transport (VAN)Transportation Services
- Sex
- Male
- Sole proprietor
- Yes
- License
- 382785 (MN)
Specialties & taxonomies
Transportation Services
Practice location
931 Madison Ave Ste 203
Mankato, MN 56001-6995
Phone: (507) 344-8900
Fax: (866) 920-6333
Approximate (ZIP-level) locationGet directions
Mailing address
931 Madison Ave Ste 203
Mankato, MN 56001-6995
Registry dates
- Enumerated
- 2018-03-07
- Last updated
- 2021-09-17
- Certified
- 2021-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.