Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MICHAEL BROCKMAN DNP
NPI 1407687486
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Active since August 12, 2024PECOS Enrolled

200 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 588-0800(502) 588-0801 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Michael Brockman Dnp NPPES

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

MICHAEL BROCKMAN DNP (NPI 1407687486) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (4049037) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407687486

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMICHAEL BROCKMANCredential: DNP

Location Address200 E CHESTNUT STLouisville, KY 40202-1831

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 975-2213

Phone(502) 588-0800

Fax(502) 588-0801

Sole ProprietorNo

Enumeration DateAugust 12, 2024

Last NPPES UpdateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1407687486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in KY · 4049037

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

200 E CHESTNUT ST, Louisville, KY 40202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Brockman Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.