Individual provider Active NPI

Colin C Brockett, DO

  • Emergency Medicine Physician
  • Marietta, OH
National Provider Identifier
1548680721
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.013100 Issued in OH
Practice address
401 Matthew St
Emergency Dept
Marietta, OH 45750-1635
Phone
(740) 374-1400
NPI assigned
Apr 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.013100 OH Primary

Addresses

Primary practice location

401 Matthew St
Emergency Dept
Marietta, OH 45750-1635

Mailing address

401 Matthew St
Emergency Department
Marietta, OH 45750-1635
Phone (740) 376-1939

Other practice location 1

600 Mt Highway 91 S
Dillon, MT 59725-7379
Phone (406) 683-3000

Other practice location 2

1106 Colegate DR
Emergency Dept
Marietta, OH 45750
Phone (740) 568-2000

Other practice location 3

799 Farson ST
Emergency Dept
Belpre, OH 45714
Phone (740) 401-1150

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address emergency.providers@mmh.mediticy.net
Direct Messaging Address emergency.providers@mmh.mediticy.net
Direct Messaging Address emergency.providers@mmh.mediticy.net
Direct Messaging Address cbrockett3078153@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MT, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180219001008 OH Practitioner - Emergency Medicine 8628297132 Reassigns benefits to 3 organizations
I20190326000251 MT Practitioner - Emergency Medicine 8628297132 Reassigns benefits to 5 organizations
I20210524002423 WV Practitioner - Emergency Medicine 8628297132 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

400 S Clark St
Butte, MT 59701-2328
Phone (406) 495-7260

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1623

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.013100OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMSC, LLC CurrentSince Jan 15, 2022 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Sep 3, 2025 Accepting new patients
Marietta Memorial Hospital Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Sidney Health Center CurrentSince Jan 1, 2026 Accepting new patients
Selby General Hospital CurrentSince Oct 17, 2020 Accepting new patients
Marietta Memorial Hospital of Tyler County Inc CurrentSince Mar 30, 2021 Accepting new patients
Marietta Memorial Hospital of Tyler County Inc CurrentSince Mar 30, 2021 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Sep 3, 2025 Accepting new patients
MHC Physicians Inc Emergency Medicine CurrentSince Jan 2, 2021 Accepting new patients
Sidney Health Center CurrentSince Jan 12, 2026 Accepting new patients
Marietta Memorial Hospital CurrentSince Jan 1, 2022 Accepting new patients
Sidney Health Center CurrentSince Jan 1, 2026 Accepting new patients
Selby General Hospital CurrentSince Oct 17, 2020 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Jan 29, 2025 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

799 Farson St
Belpre, OH 45714
Phone (740) 401-1150

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

305 Clay St
Sistersville, WV 26175
Phone (304) 447-2038

314 S Wells St
Sistersville, WV 26175
Phone (304) 652-2399

424 Highland Ave
Williamstown, WV 26187
Phone (304) 375-4656

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1398470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1548680721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MATTHEW ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501635",
            "telephone_number": "740-376-1939",
            "fax_number": "740-374-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MATTHEW ST",
            "address_2": "EMERGENCY DEPT",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501635",
            "telephone_number": "740-374-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Mt Highway 91 S",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "MT",
            "postal_code": "597257379",
            "country_code": "US",
            "telephone_number": "406-683-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Colegate DR",
            "address_2": "Emergency Dept",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "45750",
            "country_code": "US",
            "telephone_number": "740-568-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "799 Farson ST",
            "address_2": "Emergency Dept",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "45714",
            "country_code": "US",
            "telephone_number": "740-401-1150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKETT",
        "first_name": "COLIN",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-26",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.013100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmh.mediticy.net",
            "affiliation": "N",
            "address_1": "401 Matthew St",
            "address_2": "Emergency Dept",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmh.mediticy.net",
            "affiliation": "N",
            "address_1": "799 Farson ST",
            "address_2": "Emergency Dept",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmh.mediticy.net",
            "affiliation": "N",
            "address_1": "1106 Colegate DR",
            "address_2": "Emergency Dept",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbrockett3078153@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "600 Mt Highway 91 S",
            "city": "Dillon",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597257379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.