Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BIANCA BROCKMAN PA-C
NPI 1487564969
Physician Assistant in Great Neck, NY

Active since September 09, 2026
805 NORTHERN BLVD STE 100, GREAT NECK, NY 11021(516) 550-2100 Get Directions Write a Review

NPPES record added: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Bianca Brockman Pa-c NPPES

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

BIANCA BROCKMAN PA-C (NPI 1487564969) is an individual physician assistant in Great Neck, New York, licensed in New York (036616) and active in the NPI registry since September 2026. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487564969
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBIANCA BROCKMANCredential: PA-C
Location Address805 NORTHERN BLVD STE 100Great Neck, NY 11021-5342
Mailing Address805 Northern Blvd Ste 100Great Neck, NY 11021-5342
Sole ProprietorNo
Enumeration DateSeptember 9, 2026
NPPES CertifiedSeptember 8, 2026
NPI 1487564969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 036616
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
805 NORTHERN BLVD STE 100, Great Neck, NY 11021

Secondary Practice Locations 2

Location 127005 76th AveNew Hyde Park, NY 11040-1496 · Phone (718) 470-7000
Location 2300 Community DrManhasset, NY 11030-3816 · Phone (516) 562-0100

Other Providers at the Same Location NPPES 6

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

Student in an Organized Health Care Education/Training Program
805 NORTHERN BLVD STE 100
GREAT NECK, NY 11021
Student in an Organized Health Care Education/Training Program
805 NORTHERN BLVD STE 100
GREAT NECK, NY 11021
Neurological Surgery
805 NORTHERN BLVD STE 100
GREAT NECK, NY 11021
Nurse Practitioner (Family)
805 NORTHERN BLVD STE 100
GREAT NECK, NY 11021
Neurological Surgery
805 NORTHERN BLVD STE 100
GREAT NECK, NY 11021
Student in an Organized Health Care Education/Training Program
805 NORTHERN BLVD STE 100
GREAT NECK, NY 11021

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 Bianca Brockman's NPI number?

The NPI number for Bianca Brockman is 1487564969. It was assigned to this individual provider in the NPPES registry on September 9, 2026.

Where is Bianca Brockman located?

Bianca Brockman practices at 805 Northern Blvd Ste 100, Great Neck, NY 11021. The listed phone number is (516) 550-2100.

What is Bianca Brockman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Bianca Brockman was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.