Dillonbrockman Isaac Brockman

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

205 South Green Street
PO Box 81
Fountain City, IN 47341

Phone

(765) 259-1403

NPI assigned

Dec 10, 2025

Last updated

Dec 10, 2025By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Reanuityllc

  dba reanuity

  • Community/Behavioral Health Agency
  • Foutaincity, IN
  • NPI 1902780695
  NPD

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1639033129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SOUTH GREEN STREET",
            "address_2": "PO BOX 81",
            "city": "FOUNTAIN CITY",
            "state": "IN",
            "postal_code": "47341",
            "telephone_number": "765-259-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SOUTH GREEN STREET",
            "address_2": "PO BOX 81",
            "city": "FOUNTAIN CITY",
            "state": "IN",
            "postal_code": "47341",
            "telephone_number": "765-259-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "DILLONBROCKMAN",
        "middle_name": "ISAAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Johnson
• Haley Dawn Milholland, LCSW
• Northeastern Wayne School Corporation
• Vision Natioanal Transportation LLC

• Case Manager/Care Coordinator in Fountain City, IN
• Providers in Fountain City, IN by specialty
• Case Manager/Care Coordinator in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.