Caitlin Moran Brockenshire, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

67573 Issued in TN

Practice address

6325 Humphreys Blvd
Memphis, TN 38120-2300

Phone

(901) 522-7700

Fax

(901) 522-2600

NPI assigned

Apr 17, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Neurology

Education

University of Tennessee, HSC, College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Semmes-Murphey Clinic PCGroup PAC ID 1254235914, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Care Home health agency, Memphis, TN, CCN 447538
• Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
• Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
• Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034

Merit-based Incentive Payment System (MIPS)

Final score

82.8 of 100Reported as group

Quality

67.04

Promoting interoperability

100

Improvement activities

40

Cost

75.62

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caitlin.brockenshire.1@28653.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Semmes-Murphey Clinic PC

  • Neurological Surgery Physician
  • Memphis, TN
  • NPI 1477571891

  MS, Neurology

  Medicare reassignment Care Compare group NPD
• Semmes-Murphey Clinic PC

  • Clinical Neuropsychologist
  • Memphis, TN
  • NPI 1730385915
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172
  Care Compare affiliation
• Tender Loving Care Health Care Services Southeast, LLC

  • Home Health Agency
  • Memphis, TN
  • NPI 1629018999
  Care Compare affiliation
• Baptist Memorial Hospital North Mississippi, Inc

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1053375576
  Care Compare affiliation
• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1053974949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202300",
            "telephone_number": "901-522-7700",
            "fax_number": "901-522-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202300",
            "telephone_number": "901-522-7700",
            "fax_number": "901-522-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKENSHIRE",
        "first_name": "CAITLIN",
        "middle_name": "MORAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "67573",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TN",
            "license": "67573",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "33205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200010535",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q050407",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Broaddus, O.D.
• Angela Broadway, PHARMD
• Jeanetta Marie Broadway
• Broc Medical Supply Co.
• Broca Inpatient Services
• Julia Claire Brodie, PA-C
• Jonathan George Brody, M.D.
• Howard Bromley, MD
• Alberto Broniscer, MD
• Natasha Bronson-Woods, NP

• Neurology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.