Marcia Aileen Bockbrader, MD PHD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301510627 Issued in MI

Practice address

3045 Baker Rd Ste K
Dexter, MI 48130-1163

Phone

(734) 215-5643

Fax

(614) 482-4938

NPI assigned

Jun 12, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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, Doctor of Philosophy

State licenses

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 and National Provider Directory roles.

• Bep Integrative Wellness, LLC

  • Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
  • Columbus, OH
  • NPI 1225758691
  NPD Authorized official
• Bep Medical Group PLLC

  • Physical Medicine & Rehabilitation Physician
  • Dexter, MI
  • NPI 1508782947
  NPD (past) Authorized official

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1356578710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 TRAILWOOD LN",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059743",
            "telephone_number": "734-210-1627",
            "fax_number": "614-482-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 BAKER RD STE K",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301163",
            "telephone_number": "734-215-5643",
            "fax_number": "614-482-4938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Bethel Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432202056",
            "country_code": "US",
            "telephone_number": "614-321-9870",
            "fax_number": "614-482-4938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCKBRADER",
        "first_name": "MARCIA",
        "middle_name": "AILEEN",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35120118",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "MI",
            "license": "4301510627",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35120118",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301510627",
            "primary": true
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "OH",
            "license": "35120118",
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "MI",
            "license": "4301510627",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Lee Bennett
• Bep Medical Group PLLC
• Ennis Berker, PH.D.
• Angela Bethune
• Radhika Anirudh Bhagat, PT
• Margaret Mary Bouwkamp, SLP
• Boyce DC PLLC
• Alan Stephen Boyce, DC
• Julie Ann Boyd, M.A.,L.P.C.
• Terry L Braciszewski, PH.D,

• Physical Medicine & Rehabilitation Physician in Dexter, MI
• Providers in Dexter, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.