Don L Brockman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R4P98 Issued in MO

Practice address

901 S National Ave
Springfield, MO 65897-9609

Phone

(417) 836-4000

Fax

(417) 836-4133

NPI assigned

Jun 14, 2006

Last updated

Jun 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Magers Family Health and Wellness Center

  dba Magers Health and Wellness Center

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1073600334
  Medicare reassignment NPD
• Brockman Med Corp

  • Family Medicine Physician
  • Kirkwood, MO
  • NPI 1790091932
  NPD (past) Authorized official
• Ferrell Duncan Clinic, Inc

  • Multi-Specialty Clinic/Center
  • Springfield, MO
  • NPI 1326099383
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1356384242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SOUTH NATIONAL",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65897",
            "telephone_number": "417-836-4000",
            "fax_number": "417-836-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658979609",
            "telephone_number": "417-836-4000",
            "fax_number": "417-836-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "DON",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R4P98",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203641311",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Britton Jr., PHARM.D.
• Aaliyah Marie Brizendine
• Todd Brizendine, LPC
• Broadbent Rehab LLC
• Loren E Broaddus, M.D.
• Myron D. Brockman, M.D.
• Madison Mackenzie Broderick
• Amanda Christine Brodeur, MD
• Christian Edward Brodeur, MD
• Kenneth Brodrick, M.S., LPC

• Family Medicine Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.