Active NPI
James Thomas Brockman, M.D.
- Family Medicine Physician
- Hamilton, OH
National Provider Identifier
1417921057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35055812
- Practice address
- 9582 Princeton Glendale Rd
Hamilton, OH 45011-9709 - Phone
- (513) 346-5640
- Fax
- (513) 346-5644
- NPI assigned
- Feb 13, 2006
- Last updated
- Feb 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35055812B | OH | |
| Family Medicine Physician | 207Q00000X | 35055812 | OH | Primary |
Addresses
Primary practice location
9582 Princeton Glendale Rd
Hamilton, OH 45011-9709
Mailing address
9582 Princeton Glendale Rd
Hamilton, OH 45011-9709
Phone (513) 346-5640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0928992 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35055812 | OH | MD | Family Medicine Physician |
| 35055812B | OH | MD | Family Medicine Physician |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Hamilton, OH
- NPI 1073784302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1417921057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9582 PRINCETON GLENDALE RD",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450119709",
"telephone_number": "513-346-5640",
"fax_number": "513-346-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9582 PRINCETON GLENDALE RD",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450119709",
"telephone_number": "513-346-5640",
"fax_number": "513-346-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCKMAN",
"first_name": "JAMES",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35055812B",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35055812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0928992",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.