Michael Brockman
NPI 1275075152 · Psychiatric/Mental Health Nurse Practitioner · Moraine, OH
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Brockman is a Psychiatric/Mental Health Nurse Practitioner provider in Moraine, OH (NPI 1275075152).
Provider details
- NPI number
- 1275075152
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- APRN.CNP.024158 (OH)
Specialties & taxonomies
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
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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 (1)
- 323 N Broad StFairborn, OH 45324Phone: (937) 318-8103
Registry dates
- Enumerated
- 2016-11-09
- Last updated
- 2020-11-23
- Certified
- 2020-11-23
Frequently asked questions
- What is Michael Brockman's NPI number?
- Michael Brockman's National Provider Identifier (NPI) is 1275075152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Brockman's specialty?
- Michael Brockman is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michael Brockman located?
- Michael Brockman's practice location on file with NPPES is 5348 Lamme Rd, Moraine, OH 45439-3215.
- What is Michael Brockman's phone number?
- The practice phone number listed in the NPPES registry for Michael Brockman is (937) 534-4651.
- Does Michael Brockman accept Medicare?
- Michael Brockman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Brockman's NPI active?
- Yes — Michael Brockman's NPI (1275075152) is active in the NPPES registry as of the last update on 2020-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.