NPIMap

Individual provider Active NPI

John Alex Brockman, M.D.

  • Urology Physician
  • Westerville, OH
National Provider Identifier
1942563069
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35.130876 Issued in OH
Practice address
300 Polaris Pkwy Ste 2300
Westerville, OH 43082-7993
Phone
(614) 533-3034
Fax
(614) 533-0177
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 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 35.130876 OH Primary

Addresses

Primary practice location

300 Polaris Pkwy Ste 2300
Westerville, OH 43082-7993

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbrockman179299@direct.ohiohealth.com OhioHealth Physician Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170620003015 OH Practitioner - Urology 6305075672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marion Area Physicians LLCGroup PAC ID 1850549437, 179 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

1040 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-7936

500 Thomas LN
Suite 3G
Columbus, OH 43214-1419
Phone (614) 788-2870

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Marion General Hospital Hospital, Marion, OH, CCN 360011
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Doctors Hospital Hospital, Columbus, OH, CCN 360152
  • Grady Memorial Hospital Hospital, Delaware, OH, CCN 360210

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as apm
Quality
71.52
Promoting interoperability
95.57
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

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
Ohiohealth Corporation CurrentSince Jul 23, 2017 Accepting new patients
Marion Area Physicians LLC CurrentSince Dec 1, 2020 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 23, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

5141 W Broad St
Ste 180
Columbus, OH 43228
Phone (614) 544-1460

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

500 Thomas Ln
Ste 3G
Columbus, OH 43214
Phone (614) 457-7732

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

300 Polaris Pkwy
Ste 240
Westerville, OH 43082
Phone (614) 788-2870

300 Polaris Pkwy
Ste 2300
Westerville, OH 43082
Phone (614) 533-3034

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1942563069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 POLARIS PKWY STE 2300",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827993",
            "telephone_number": "614-533-3034",
            "fax_number": "614-533-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "JOHN",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.130876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrockman179299@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "300 Polaris Pkwy Ste 2300",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430827993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.