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

Jamie Brockman, PAC

Individual provider Medical Physician Assistant · NPI 1053075820

Jamie Brockman, PAC is a Physician Assistant in Surprise, Arizona. Qualified in 2021, 5 years ago. Practices with Surprise Medical Consultants LLC, a 6-clinician group and offers telehealth.

Years since qualifying
5
In the registry since
2021
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

14674 W Mountain View Blvd Ste 200
Surprise, AZ 85374-2708
Phone: (623) 544-6860
Fax: (623) 544-6861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1053075820
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 27, 2021
Last updated in NPPESOctober 27, 2021
Certification dateOctober 26, 2021
Mailing address14674 W Mountain View Blvd Ste 200, Surprise, AZ 85374-2708

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Surprise Medical Consultants Llc — 6 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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