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

Dr. Tara Ann Brockman, MD

Individual provider Psychiatry Physician · NPI 1346737913

Dr. Tara Ann Brockman, MD is a Psychiatry in Grand Rapids, Michigan. Qualified in 2018, 8 years ago. Practices with State of Michigan Office of Financial Management, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 456-0842
Fax: (616) 559-5864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4351035205 (MI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 4301114533 (MI)

Record details

NPI number1346737913
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2018
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice State Of Michigan Office Of Financial Management — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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