NPIMap

Individual provider Active NPI

Scott Brockman, MD

  • Urology Physician
  • Farmington Hills, MI
National Provider Identifier
1508364084
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301508718 Issued in MI
Practice address
29992 Northwestern Hwy Ste C
Farmington Hills, MI 48334-3292
Phone
(947) 366-1200
NPI assigned
Jan 30, 2018
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301508718 MI Primary

Addresses

Primary practice location

29992 Northwestern Hwy Ste C
Farmington Hills, MI 48334-3292

Mailing address

273 Kenwood CT
Grosse Pointe Farms, MI 48236-3452
Phone (616) 915-4430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621001624 MI Practitioner - Urology 1254680838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

18325 E 10 Mile Rd
Suite 200
Roseville, MI 48066-4990
Phone (586) 773-6300

27450 Schoenherr Rd
Suite 400
Warren, MI 48088-6684
Phone (586) 582-7550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.86 of 100Reported as group
Quality
78.24
Promoting interoperability
0
Improvement activities
40
Cost
74.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince May 1, 2024 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jun 16, 2023 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince May 1, 2024 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jun 16, 2023 Accepting new patients

Locations

31500 Telegraph Rd
Ste 130
Bingham Farms, MI 48025
Phone (248) 433-3803

21510 Harrington St
Ste 301
Clinton Twp, MI 48036
Phone (586) 464-3661

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

18325 E 10 Mile Rd
Ste 200
Roseville, MI 48066
Phone (586) 773-6300

27450 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 582-7550

28565 Schoenherr Rd
Warren, MI 48088
Phone (586) 576-4140

Interoperability endpoints

  • Direct secure messaging: sbrockman1118873@direct.hfhs.org
  • Direct secure messaging: scott.brockman.1@18740.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1508364084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 KENWOOD CT",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363452",
            "telephone_number": "616-915-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29992 NORTHWESTERN HWY STE C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343292",
            "telephone_number": "947-366-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301508718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.