Julie Brockman, APRN-CNP
NPI 1104668102 · Addiction Medicine (Family Medicine) Physician · Grandville, MI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Julie Brockman, APRN-CNP is a Addiction Medicine (Family Medicine) Physician provider in Grandville, MI (NPI 1104668102).
Provider details
- NPI number
- 1104668102
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- APRN-CNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704438112 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1585 Neil AveColumbus, OH 43210-1216Phone: (614) 292-4041
- 164 E Main StMount Sterling, OH 43143-1145Phone: (740) 956-1360Fax: (740) 869-1160
Registry dates
- Enumerated
- 2024-06-10
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Frequently asked questions
- What is Julie Brockman's NPI number?
- Julie Brockman's National Provider Identifier (NPI) is 1104668102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Julie Brockman's specialty?
- Julie Brockman is listed in the NPPES registry with a primary specialty of Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Julie Brockman located?
- Julie Brockman's practice location on file with NPPES is 3584 Fairlanes Ave Sw Ste 2, Grandville, MI 49418-1583.
- What is Julie Brockman's phone number?
- The practice phone number listed in the NPPES registry for Julie Brockman is (616) 797-2124.
- Does Julie Brockman accept Medicare?
- Julie Brockman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Julie Brockman's NPI active?
- Yes — Julie Brockman's NPI (1104668102) is active in the NPPES registry as of the last update on 2026-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.