MR. CRAIG BROCKMAN N.P.
NPI 1639174071
Nurse Practitioner - Family in Clinton, MI

Active since June 14, 2005
11775 TECUMSEH CLINTON RD, CLINTON, MI 49236(517) 456-7449(517) 456-6059 Get Directions Write a Review

NPPES record last updated: March 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Craig Brockman N.p. NPPES

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

MR. CRAIG BROCKMAN N.P. (NPI 1639174071) is an individual family provider in Clinton, Michigan, licensed in Michigan (4704166180) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1639174071
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. CRAIG BROCKMANCredential: N.P.
Location Address11775 TECUMSEH CLINTON RDClinton, MI 49236-9541
Mailing Address8770 Hawthorne DrTecumseh, MI 49286-9504
Fax(517) 456-6059
Sole ProprietorNo
Enumeration DateJune 14, 2005
Last NPPES UpdateMarch 31, 2013
NPI 1639174071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704166180
11775 TECUMSEH CLINTON RD, Clinton, MI 49236

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.

Family Medicine
11775 TECUMSEH CLINTON RD
CLINTON, MI 49236
Family Medicine
11775 TECUMSEH CLINTON RD
CLINTON, MI 49236
Family Medicine
11775 TECUMSEH CLINTON RD
CLINTON, MI 49236
Family Medicine
11775 TECUMSEH CLINTON RD
CLINTON, MI 49236
Family Medicine
11775 TECUMSEH CLINTON RD
CLINTON, MI 49236
Family Medicine
11775 TECUMSEH CLINTON RD
CLINTON, MI 49236

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 Craig Brockman's NPI number?

The NPI number for Craig Brockman is 1639174071. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Craig Brockman located?

Craig Brockman practices at 11775 Tecumseh Clinton Rd, Clinton, MI 49236. The listed phone number is (517) 456-7449.

What is Craig Brockman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Craig Brockman was last updated on March 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.