Bianca Brockman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

036616 Issued in NY

Practice address

805 Northern Blvd Ste 100
Great Neck, NY 11021-5342

Phone

(516) 550-2100

NPI assigned

Sep 9, 2026

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1487564969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 NORTHERN BLVD STE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 NORTHERN BLVD STE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215342",
            "telephone_number": "516-550-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27005 76th Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401496",
            "country_code": "US",
            "telephone_number": "718-470-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Community Dr",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303816",
            "country_code": "US",
            "telephone_number": "516-562-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "BIANCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "036616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ruth Bravmann, PH.D
• Marisa Brazak
• Alison Brennan, PH.D.
• Brian D. Cohen, M.D., PLLC
• Jaclyn Taylor Brigandi
• Liat Mindy Brody, M.S., OTR/L
• Stewart Charles Brody, DDS
• Richard Lawrence Bronzo X, MD
• Donna Marie Brook, FNP
• Janet T Brooks, PA

• Physician Assistant in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.