IDA BROCKMAN MD
NPI 1982164356
Psychiatry & Neurology - Child & Adolescent Psychiatry in Mc Murray, PA

Active since March 22, 2019PECOS EnrolledAccepts Medicare Assignment
3055 WASHINGTON RD STE 101, MC MURRAY, PA 15317(724) 260-0550 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2024, Jun 4, 2024, May 3, 2019 and 1 more (4 updates tracked since 2019).

About Ida Brockman Md NPPES

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

IDA BROCKMAN MD (NPI 1982164356) is an individual child & adolescent psychiatry provider in Mc Murray, Pennsylvania, licensed in Pennsylvania (MD477471) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pittsburgh, and is a graduate of University Of Pittsburgh School Of Medicine (2018).

NPPES Registry Identity

NPI1982164356
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameIDA BROCKMANCredential: MD
Location Address3055 WASHINGTON RD STE 101Mc Murray, PA 15317-3279
Mailing Address3055 Washington Rd Ste 101Mc Murray, PA 15317-3279 · (724) 260-0550
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2018
Enumeration DateMarch 22, 2019
Last NPPES UpdateJune 20, 20244 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1982164356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in PA · MD477471
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD477471 (PA)
3055 WASHINGTON RD STE 101, Mc Murray, PA 15317

Secondary Practice Location 1

Location 1200 Quinn Dr Ste 250Pittsburgh, PA 15275-1055 · Phone (412) 294-1267

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ida Brockman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951635499
PECOS Enrollment IDI20240702001181
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ida Brockman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
160 GALLERY DR, SUITE 300
Mc Murray, PA 15317
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
Psychiatry
810 CLAIRTON BLVD STE 500600
Pittsburgh, PA 15236
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 93 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

Psychiatry & Neurology (Psychiatry)
3055 WASHINGTON RD STE 101
MC MURRAY, PA 15317
Psychiatry & Neurology (Psychiatry)
3055 WASHINGTON RD STE 101
MC MURRAY, PA 15317

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 Ida Brockman's NPI number?

The NPI number for Ida Brockman is 1982164356. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Ida Brockman located?

Ida Brockman practices at 3055 Washington Rd Ste 101, Mc Murray, PA 15317. The listed phone number is (724) 260-0550.

What is Ida Brockman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Ida Brockman enrolled in Medicare?

Yes. Ida Brockman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ida Brockman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ida Brockman reassigns Medicare benefits to 2 organizations: Allegheny Clinic (Mc Murray, PA) and Jefferson Regional Medical Center (Pittsburgh, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ida Brockman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ida Brockman was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.