MRS. TAMARA KAYE BROCKMAN PNP
NPI 1639224140
Nurse Practitioner - Pediatrics in Springboro, OH

Q: What is Tamara Brockman's NPI number?

The NPI number for Tamara Brockman is 1639224140. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Tamara Brockman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tamara Brockman was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since January 24, 2007PECOS Enrolled

662 N MAIN ST, SPRINGBORO, OH 45066(937) 641-5066(937) 550-9797 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Jan 19, 2026, Jun 11, 2025 and 6 more (9 updates tracked since 2021).

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About Mrs. Tamara Kaye Brockman Pnp NPPES

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

MRS. TAMARA KAYE BROCKMAN PNP (NPI 1639224140) is an individual pediatrics provider in Springboro, Ohio, licensed in Ohio (APRN.CNP.05304) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains 13 additional practice locations.

NPPES Registry Identity

NPI1639224140

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. TAMARA KAYE BROCKMANCredential: PNP

Location Address662 N MAIN STSpringboro, OH 45066-9553

Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-3000

Phone(937) 641-5066

Fax(937) 550-9797

Sole ProprietorNo

Enumeration DateJanuary 24, 2007

Last NPPES UpdateMay 28, 20269 updates tracked since enumeration

NPPES CertifiedMay 28, 2026

✔ NPI 1639224140 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 OH · APRN.CNP.05304

662 N MAIN ST, Springboro, OH 45066

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Secondary Practice Locations 13

Location 11425 N Fairfield Rd Ste 130Beavercreek, OH 45432-2674 · Phone (937) 320-1950

Location 21711 Germantown PikeDayton, OH 45417 · Phone (937) 641-3142 · Fax (937) 641-4172

Location 3792 Northwoods BlvdVandalia, OH 45377-9462 · Phone (937) 641-4236 · Fax (937) 641-4237

Location 43333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-5725 · Fax (937) 350-3050

Location 57787 Cox LnWest Chester, OH 45069-6549 · Phone (937) 641-5757 · Fax (513) 847-1192

Location 65501 Far Hills Ave Ste 200Dayton, OH 45429-2203 · Phone (937) 436-2866 · Fax (937) 436-1468

Location 74475 Far Hills AveKettering, OH 45429-2405 · Phone (937) 641-3141 · Fax (937) 641-3190

Location 8860 Valley St.Dayton, OH 45404 · Phone (937) 641-3060 · Fax (937) 641-3285

Location 93301 Dayton Xenia Rd Ste 200Beavercreek, OH 45432-2759 · Phone (937) 641-5098 · Fax (937) 912-9395

Location 101 Childrens PlzDayton, OH 45404-1815 · Phone (937) 641-3600 · Fax (937) 641-5802

Location 119000 N Main St Ste 332Englewood, OH 45415-1185 · Phone (937) 832-7337

Location 128501 Old Troy PikeHuber Heights, OH 45424-1054 · Phone (937) 641-4360 · Fax (937) 641-3791

Location 136044 Wilmington PikeDayton, OH 45459-7006 · Phone (937) 641-3270 · Fax (937) 641-6108

Other Identifiers 1

Medicaid2143933OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tamara Kaye Brockman Pnp 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 45066 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 14

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

MISS SAUNDRA D ZERBE FNP

Nurse Practitioner (Family)