Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BONITA L BROCKMAN MD
NPI 1962443515
Pediatrics in Austell, GA

Q: What is Bonita Brockman's NPI number?

The NPI number for Bonita Brockman is 1962443515. It was assigned to this individual provider in the NPPES registry on June 8, 2006. The provider is also known as Evan Lavonne Brockman.

Q: What is Bonita Brockman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Bonita Brockman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 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.

Active since June 08, 2006

2041 MESA VALLEY WAY, STE 185, AUSTELL, GA 30106(404) 785-8900(404) 785-8948 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Bonita L Brockman Md NPPES

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

BONITA L BROCKMAN MD (NPI 1962443515) is an individual pediatrics provider in Austell, Georgia, licensed in Georgia (045410) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1962443515

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameBONITA L BROCKMANCredential: MD

Location Address2041 MESA VALLEY WAY, STE 185Austell, GA 30106

Mailing Address361 Nelms AveAtlanta, GA 30307 · (404) 822-7712

Phone(404) 785-8900

Fax(404) 785-8948

Sole ProprietorNo

Enumeration DateJune 8, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1962443515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 045410

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2041 MESA VALLEY WAY, Austell, GA 30106

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Other Names 1

Other Name (5)Evan Lavonne Brockman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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.

MR. JEFFREY N HAIRSTON PA-C

Physician Assistant (Surgical)

2041 MESA VALLEY WAY, SUITE 100
AUSTELL, GA 30106

Cobb County (770) 944-1100

DR. RAFAEL V. URRUTIA JR. M.D.

Orthopaedic Surgery

2041 MESA VALLEY WAY, SUITE 100
AUSTELL, GA 30106

Cobb County (770) 944-1100

RESURGENS, LLC

Orthopaedic Surgery

2041 MESA VALLEY WAY, SUITE 100
AUSTELL, GA 30106

Cobb County (770) 944-1100

MS. SUSAN H KIRBY NP-C

Nurse Practitioner

2041 MESA VALLEY WAY, SUITE 100
AUSTELL, GA 30106

Cobb County (770) 944-1100

NADIA BRIANNA WRIGHT

Physician Assistant

2041 MESA VALLEY WAY
AUSTELL, GA 30106

Cobb County (770) 944-1100

KENNETH C. HOLBROOK PA

Physician Assistant

2041 MESA VALLEY WAY, SUITE 100
AUSTELL, GA 30106

Cobb County (770) 944-1100

JACQUELINE M. SUGGS PTA

Physical Therapy Assistant

2041 MESA VALLEY WAY, SUITE 100
AUSTELL, GA 30106

Cobb County (678) 309-8159

EAST WEST SURGERY CENTER LP

Clinic/Center (Ambulatory Surgical)

2041 MESA VALLEY WAY, STE 125
AUSTELL, GA 30106

Cobb County (678) 309-8100

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 Bonita Brockman's NPI number?

The NPI number for Bonita Brockman is 1962443515. It was assigned to this individual provider in the NPPES registry on June 8, 2006. The provider is also known as Evan Lavonne Brockman.

Where is Bonita Brockman located?

Bonita Brockman practices at 2041 Mesa Valley Way Ste 185, Austell, GA 30106. The listed phone number is (404) 785-8900.

What is Bonita Brockman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Bonita Brockman accept?

Health plans from Alliant Health Plans, Inc. list Bonita Brockman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bonita Brockman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 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.