DR. KIRK EDWARD BROCKMAN M.D.
NPI 1235139221
Family Medicine in St. Clair, MO

Active since July 30, 2005
1001 CARDWELL ST, ST. CLAIR, MO 63077(636) 629-3300(636) 629-7377 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kirk Edward Brockman M.d. NPPES

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

DR. KIRK EDWARD BROCKMAN M.D. (NPI 1235139221) is an individual family medicine provider in St. Clair, Missouri, licensed in Missouri (R2F53) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1235139221
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIRK EDWARD BROCKMANCredential: M.D.
Location Address1001 CARDWELL STSt. Clair, MO 63077
Mailing Address1001 Cardwell StreetSt. Clair, MO 63077 · (636) 629-3300 · Fax (636) 629-7377
Fax(636) 629-7377
Sole ProprietorNo
Enumeration DateJuly 30, 2005
Last NPPES UpdateMarch 11, 2015
NPI 1235139221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · R2F53
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1001 CARDWELL ST, St. Clair, MO 63077

Other Identifiers 6

Medicare PIN152810076MO
Medicare NSC0767820001MO
OtherP01134547MO · Railroad Medicare
Medicare UPINA14049MO
Medicaid202458204MO
Medicare PIN129430012

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1001 CARDWELL ST
SAINT CLAIR, MO 63077
Family Medicine
1001 CARDWELL ST
SAINT CLAIR, MO 63077
Internal Medicine
1001 CARDWELL ST
SAINT CLAIR, MO 63077
Family Medicine
1001 CARDWELL ST
SAINT CLAIR, MO 63077
Nurse Practitioner (Family)
1001 CARDWELL ST
SAINT CLAIR, MO 63077
Family Medicine
1001 CARDWELL ST
SAINT CLAIR, MO 63077
Nurse Practitioner (Family)
1001 CARDWELL ST
SAINT CLAIR, MO 63077
Family Medicine
1001 CARDWELL ST
SAINT CLAIR, MO 63077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirk Brockman's NPI number?

The NPI number for Kirk Brockman is 1235139221. It was assigned to this individual provider in the NPPES registry on July 30, 2005.

Where is Kirk Brockman located?

Kirk Brockman practices at 1001 Cardwell St, St. Clair, MO 63077. The listed phone number is (636) 629-3300.

What is Kirk Brockman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kirk Brockman was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.