Active NPI
Clinton Brocka, BSN, RN
- Registered Nurse
- Carmel, IN
National Provider Identifier
1649189473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28280386A
- Practice address
- 10580 N Meridian St
Carmel, IN 46290-1028 - Phone
- (317) 583-5000
- NPI assigned
- Sep 7, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28280386A | IN | Primary |
Addresses
Primary practice location
10580 N Meridian St
Carmel, IN 46290-1028
Mailing address
8515 Clearwater LN Apt 204
Indianapolis, IN 46240-1580
Phone (773) 849-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1649189473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8515 CLEARWATER LN APT 204",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462401580",
"telephone_number": "773-849-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10580 N MERIDIAN ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "462901028",
"telephone_number": "317-583-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCKA",
"first_name": "CLINTON",
"credential": "BSN, RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-07",
"certification_date": "2026-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28280386A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.