David Corbly Brockman III, LPC, ATR

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178.021187 Issued in IL

Practice address

10421 S Church St
Chicago, IL 60643-2940

Phone

(708) 568-1909

NPI assigned

Oct 2, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1881568715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 W BRYN MAWR AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606600049",
            "telephone_number": "513-417-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 S CHURCH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432940",
            "telephone_number": "708-568-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "DAVID",
        "middle_name": "CORBLY",
        "name_suffix": "III",
        "credential": "LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "24-718",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.021187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portia Brock, LPC
• Sydney Danielle Brock, BA, MPH
• Kenneth Robert Brocker, DDS
• Elizabeth Brockland, APRN
• Jazalyn Brockland
• Meagan Nicole Brockman, MD
• Jennifer Marie Brockmeyer, MD
• Maureen Elizabeth Brocks-Hussain, APN
• Carol Brod
• Nadine Brodala, DDS, MS, DMD

• Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.