Christina Brockman, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS16493 Issued in FL

Practice address

7720 US Highway 98 W Ste 350
Miramar Beach, FL 32550-9200

Phone

(850) 622-3393

Fax

(850) 622-3371

NPI assigned

Jan 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 Osteopathy

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.

• Afc Florida, LLC

  • Urgent Care Clinic/Center
  • Pace, FL
  • NPI 1205268208

  Family Medicine

  Medicare reassignment NPD
• P.R. Care, LTD

  • Urgent Care Clinic/Center
  • Columbus, OH
  • NPI 1518945948
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1407834864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 US HIGHWAY 98 W STE 350",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325509200",
            "telephone_number": "850-622-3393",
            "fax_number": "850-622-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 US HIGHWAY 98 W STE 350",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325509200",
            "telephone_number": "850-622-3393",
            "fax_number": "850-622-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "CHRISTINA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS16493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BPR Medical LLC Dba Sowal Health and Wellness
• Ashley C Bradford, OTR/L
• Ashley Bradley, FNP-C
• Ramesh J Brahmbhatt, M.D.
• Anna Lucille Braun, MSN, APRN-BC, CRNFA
• Jasmine Brown
• Kristen Marie Bueby, RD,LDN
• Miranda A Bushnell
• Erika Calderon
• Alicia Elliott Caldwell, PA-C

• Family Medicine Physician in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.