1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Dentist
  6. NPI Profile

DR. ERIC SCOTT BROCKMAN DMD, MSD
NPI 1336211614
Dentist - Periodontics in Philadelphia, PA

Active since November 14, 2006Opted out of Medicare · through Apr 26, 2027
7601 CASTOR AVE STE 300, PHILADELPHIA, PA 19152(215) 722-4290(215) 722-3734 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2023, Mar 15, 2017 (2 updates tracked since 2017).

About Dr. Eric Scott Brockman Dmd, Msd NPPES

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

DR. ERIC SCOTT BROCKMAN DMD, MSD (NPI 1336211614) is an individual periodontics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS028499L) and active in the NPI registry since November 2006. He has opted out of Medicare through April 26, 2027 and remains eligible to order and refer and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1336211614
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. ERIC SCOTT BROCKMANCredential: DMD, MSD
Location Address7601 CASTOR AVE STE 300Philadelphia, PA 19152-4027
Mailing Address635 Meadowbrook Dr Apt 635Huntingdon Valley, PA 19006-6913 · (206) 498-0877
Phone(215) 722-4290
Fax(215) 722-3734
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1336211614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in PA · DS028499L✔ Licensed in WA · 00007825✔ Licensed in WI · 1001067-15✔ Licensed in TN · 11876
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
7601 CASTOR AVE STE 300, Philadelphia, PA 19152
Open in Google Maps ↗

Secondary Practice Location 1

Location 11685 Crown AveLancaster, PA 17601-6322 · Phone (717) 482-6542

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Eric Scott Brockman Dmd, Msd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 26, 2017 through April 26, 2027.

Opt-Out Effective DateApril 26, 2017
Opt-Out In Effect ThroughApril 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19152 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Eric Brockman's NPI number?

The NPI number for Eric Brockman is 1336211614. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Eric Brockman located?

Eric Brockman practices at 7601 Castor Ave Ste 300, Philadelphia, PA 19152. The listed phone number is (215) 722-4290.

What is Eric Brockman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Eric Brockman enrolled in Medicare?

No. Eric Brockman has opted out of Medicare through April 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Eric Brockman accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Eric Brockman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eric Brockman was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.