Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MICHAEL BROCKLEHURST
NPI 1053093997
Nurse Anesthetist, Certified Registered in Point Edward, ONTARIO

Active since August 01, 2023Accepts Medicare Assignment
214 VICTORIA, POINT EDWARD, ONTARIO N7V1H(519) 381-6453 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Brocklehurst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL BROCKLEHURST (NPI 1053093997) is an individual nurse anesthetist, certified registered in Point Edward, ONTARIO, licensed in Michigan (4704229691) and active in the NPI registry since August 2023. He is affiliated with Mclaren Port Huron and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053093997
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMICHAEL BROCKLEHURST
Location Address214 VICTORIAPoint Edward, ONTARIO N7V1H6
Mailing Address214 VictoriaPoint Edward, ONTARIO N7V1H6
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 1, 2023
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
NPI 1053093997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MI · 4704229691
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

214 VICTORIA, Point Edward, ONTARIO N7V1H

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael Brocklehurst is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830695527
PECOS Enrollment IDI20251001003291

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053093997, enumerated as an "individual" on August 01, 2023.

The provider is located at 214 VICTORIA POINT EDWARD, ONTARIO N7V1H and the phone number is (519) 381-6453.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Michael Brocklehurst is affiliated with: MCLAREN PORT HURON.