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

NPI Status: Active since May 16, 2006

Contact Information

8673 EAGLE POINT BLVD
LAKE ELMO, MN
ZIP 55042
Phone: (651) 209-9383
Fax: (651) 209-9384

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  • Individual
  • Male
  • Clinic/Center
  • Mental Health (Including Community Menta...

About KENT BROCKMANN

This page provides the complete NPI Profile along with additional information for Kent Brockmann, a provider established in Lake Elmo, Minnesota with a medical specialization in Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1245281823 assigned on May 2006. The practitioner's primary taxonomy code is 261QM0801X with license number 44519 (MN). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1245281823
Provider Name
DR. KENT GREGORY BROCKMANN MD
Gender
Male
Entity Type
Individual
Location Address
8673 EAGLE POINT BLVD LAKE ELMO, MN 55042
Location Phone
(651) 209-9383
Location Fax
(651) 209-9384
Mailing Address
8673 EAGLE POINT BLVD LAKE ELMO, MN 55042
Mailing Phone
(651) 209-9383
Mailing Fax
(651) 209-9384
Is Sole Proprietor?
Yes
Enumeration Date
05-16-2006
Last Update Date
06-25-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
44519
License State
MN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

44519 (MN)
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

48376-20 (WI)
3261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
273L3BROTHER (01)MNBLUECROSS/BLUESHIELD MN
15-45530OTHER (01)MNMEDICA/UBH ID
087897900MEDICAID (05)MN 
H63774MEDICARE UPIN (02) 
260002523MEDICARE ID-TYPE UNSPECIFIED (04)MNMEDICARE ID

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245281823, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 4 + 8 + 2 + 8 + 4 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1245281823.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245281823, enumerated as an "individual" on May 16, 2006.

The provider is located at 8673 EAGLE POINT BLVD LAKE ELMO, MN 55042 and the phone number is (651) 209-9383.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.