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MS. MARY ELLEN BROCKMANN PNP
NPI 1376633362
Nurse Practitioner - Pediatrics in Creve Coeur, MO

Active since October 13, 2006
522 N NEW BALLAS RD, SUITE 392, CREVE COEUR, MO 63141(314) 994-0444(314) 994-0555 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Ellen Brockmann Pnp NPPES

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

MS. MARY ELLEN BROCKMANN PNP (NPI 1376633362) is an individual pediatrics provider in Creve Coeur, Missouri, licensed in Missouri (043919) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1376633362
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. MARY ELLEN BROCKMANNCredential: PNP
Location Address522 N NEW BALLAS RD, SUITE 392Creve Coeur, MO 63141-6857
Mailing Address522 N New Ballas Rd, Suite 392Creve Coeur, MO 63141-6857 · (314) 994-0444 · Fax (314) 994-0555
Phone(314) 994-0444
Fax(314) 994-0555
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376633362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MO · 043919
522 N NEW BALLAS RD, Creve Coeur, MO 63141
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Other Providers at the Same Location NPPES 20

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

ALEXANDER T KALK, MD LLC
Family Medicine
522 N NEW BALLAS RD, SUITE 270
SAINT LOUIS, MO 63141
St. Louis County (314) 567-6464
AKGUN INCE M.D.
Internal Medicine (Rheumatology)
522 N NEW BALLAS RD, SUITE 240
SAINT LOUIS, MO 63141
St. Louis County (314) 567-5100
MRS. JAMIE LYNN GRIFFITH NP-C
Nurse Practitioner
522 N NEW BALLAS RD, SUITE 203
SAINT LOUIS, MO 63141
St. Louis County (314) 569-3323
DR. JEFFREY ROBERT PADOUSIS M.D.
Ophthalmology
522 N NEW BALLAS RD, STE 136
SAINT LOUIS, MO 63141
St. Louis County (314) 432-7010
CENTER FOR REPRODUCTIVE MEDICINE AND ROBOTIC SURGERY, LLC
Obstetrics & Gynecology (Reproductive Endocrinology)
522 N NEW BALLAS RD, SUITE 206
SAINT LOUIS, MO 63141
St. Louis County (314) 473-1285
TERRY DAVID WEISS M.D.
Internal Medicine (Rheumatology)
522 N NEW BALLAS RD, SUITE 240
SAINT LOUIS, MO 63141
St. Louis County (314) 567-5100
NEIGHBORHOOD MED CENTER LLC
Clinic/Center (Primary Care)
522 N NEW BALLAS RD, SUITE 270
SAINT LOUIS, MO 63141
St. Louis County (314) 567-6464
ST. LOUIS PSYCHIATRIC ASSOCIATES, LLC
Specialist
522 N NEW BALLAS RD, SUITE 245
SAINT LOUIS, MO 63141
St. Louis County (314) 942-3057

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 Mary Brockmann's NPI number?

The NPI number for Mary Brockmann is 1376633362. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Mary Brockmann located?

Mary Brockmann practices at 522 N New Ballas Rd Suite 392, Creve Coeur, MO 63141. The listed phone number is (314) 994-0444.

What is Mary Brockmann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Brockmann was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.