Michael Brockett, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35043094 Issued in OH

Practice address

300 E 8TH St Ste 120
Marietta, OH 45750-3379

Phone

(740) 374-4273

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 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

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.

• City of Marietta

  • Public Health or Welfare Agency
  • Marietta, OH
  • NPI 1316983273
  NPD (past) Authorized official
• Marietta Health Care Systems, Inc.

  • Family Medicine Physician
  • Marietta, OH
  • NPI 1750463717
  NPD
• Voca Corporation of Ohio

  • Intellectual Disabilities Intermediate Care Facility
  • Marietta, OH
  • NPI 1285822544
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1366419343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 TECUMSEH DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457505435",
            "telephone_number": "740-374-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 8TH ST STE 120",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503379",
            "telephone_number": "740-374-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKETT",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35043094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.brockett@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "300 E 8th St",
            "address_2": "Suite 120",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Judy M Britton, LPN
• Julie Marie Britton, LPN
• Vladimir Brizuela
• Cynthia Brock, DO
• Colin C Brockett, DO
• Chandler J Brockmeier
• Christopher M Brown, PA
• Stacey M. Brown, FNP-BC
• Stephani Dianne Brown, R.D.H
• Whitli Rachelle Brown

• Family Medicine Physician in Marietta, OH
• Providers in Marietta, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.