Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Edman Brockman, PT

Individual provider Physical Therapist · NPI 1750367256

Charles Edman Brockman, PT is a Physical Therapist in Private Practice in Bend, Oregon. Qualified in 1995, 31 years ago. Practices with Therapeutic Associates Inc, a 322-clinician group and accepts Medicare assignment. Licensed in Montana, Nevada and Oregon.

Years since qualifying
31
Licensed in
MT, NV, OR
In the registry since
2005
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2200 NE Neff Rd Ste 202 Tai - Central Oregon Bend
Bend, OR 97701-4281
Phone: (541) 388-7738
Fax: (541) 312-0121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3101 (OR)
Physical Therapist Taxonomy 225100000X · Licence 1653 (MT)
Physical Therapist Taxonomy 225100000X · Licence 912 (NV)

Record details

NPI number1750367256
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 16, 2005
Last updated in NPPESNovember 1, 2012
Mailing address16083 Sw Upper Boones Ferry Rd, Ste. 300, Tigard, OR 97224-7736

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Therapeutic Associates Inc — 322 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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