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DR. KENT GREGORY BROCKMANN MD
NPI 1245281823
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lake Elmo, MN

Active since May 16, 2006
8673 EAGLE POINT BLVD, LAKE ELMO, MN 55042(651) 209-9383(651) 209-9384 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kent Gregory Brockmann Md NPPES

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

DR. KENT GREGORY BROCKMANN MD (NPI 1245281823) is an individual mental health (including community mental health center) provider in Lake Elmo, Minnesota, licensed in Minnesota (44519) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1245281823
Entity TypeIndividualMale
Primary Taxonomy261QM0801X
Provider Legal NameDR. KENT GREGORY BROCKMANNCredential: MD
Location Address8673 EAGLE POINT BLVDLake Elmo, MN 55042
Mailing Address8673 Eagle Point BlvdLake Elmo, MN 55042 · (651) 209-9383 · Fax (651) 209-9384
Phone(651) 209-9383
Fax(651) 209-9384
Sole ProprietorYes
Enumeration DateMay 16, 2006
Last NPPES UpdateJune 25, 2013
✔ NPI 1245281823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in MN · 44519
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 44519 (MN)
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 48376-20 (WI)
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
8673 EAGLE POINT BLVD, Lake Elmo, MN 55042
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Other Identifiers 5

Other273L3BRMN · Bluecross/blueshield Mn
Other15-45530MN · Medica/ubh Id
Medicaid087897900MN
Medicare UPINH63774
Medicare ID-Type Unspecified260002523MN · Medicare Id

Other Providers at the Same Location NPPES

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

ANDREW KLOTZ MA
Counselor (Mental Health)
8673 EAGLE POINT BLVD
LAKE ELMO, MN 55042
Washington County (952) 228-1370

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 Kent Brockmann's NPI number?

The NPI number for Kent Brockmann is 1245281823. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Kent Brockmann located?

Kent Brockmann practices at 8673 Eagle Point Blvd, Lake Elmo, MN 55042. The listed phone number is (651) 209-9383.

What is Kent Brockmann's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Kent Brockmann was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.