Ida Brockman, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD477471 Issued in PA

Practice address

3055 Washington Rd Ste 101
MC Murray, PA 15317-3279

Phone

(724) 260-0550

NPI assigned

Mar 22, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in PA

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 1

Specialty

Psychiatry

Education

University of Pittsburgh School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ibrockman920832@direct.ahn.org

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.

• Allegheny Clinic

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1073081493

  PA

  Medicare reassignment Care Compare group NPD
• Jefferson Regional Medical Center

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1891763249

  PA, Psychiatry

  Medicare reassignment NPD
• Allegheny Clinic

  • Radiation Oncology Physician
  • Pittsburgh, PA
  • NPI 1114927530
  Care Compare group
• Allegheny Clinic

  • Ambulatory Surgical Clinic/Center
  • Wexford, PA
  • NPI 1124439450
  Care Compare group
• Allegheny Clinic

  • Community/Retail Pharmacy
  • Wexford, PA
  • NPI 1427451764
  Care Compare group
• Allegheny Clinic

  • Critical Care Medicine (Internal Medicine) Physician
  • Pittsburgh, PA
  • NPI 1063650919
  NPD
• Allegheny Clinic

  • Primary Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1215752548
  NPD
• Jefferson Regional Medical Center

  • Rehabilitation Hospital Unit
  • Clairton, PA
  • NPI 1013985126
  NPD
• The Via Center, P.C.

  • Psychiatry Physician
  • MC Murray, PA
  • NPI 1134583271

  Psychiatry

  NPD

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1982164356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 WASHINGTON RD STE 101",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173279",
            "telephone_number": "724-260-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 WASHINGTON RD STE 101",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173279",
            "telephone_number": "724-260-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Quinn Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152751055",
            "country_code": "US",
            "telephone_number": "412-294-1267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "IDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD477471",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD477471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Braswell Bovalina, LPC
• Beth A Breiding, M.S., CCC/SLP
• Bridges Family Based Addiction Treatment LLC
• Brock Ventures
• Rueben Brock, LPC
• Kevin Brogley
• Stephanie Shaw Brown, MD
• Alexander Michael Brucker, PHARMD
• Patricia J Bulseco, MD
• James Matthew Burnett, D.C.

• All providers in MC Murray, PA
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.