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

Julie Anne Brockman, APRN-CNP

Individual provider Addiction Medicine (Family Medicine) Physician · NPI 1104668102

Julie Anne Brockman, APRN-CNP is a Nurse Practitioner in Grandville, Michigan. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Michigan and Ohio.

Years since qualifying
2
Licensed in
MI, OH
In the registry since
2024
Specialties on file
2

Practice location Address checks out

3584 Fairlanes Ave SW Ste 2
Grandville, MI 49418-1583
Phone: (616) 797-2124
Show map & directions

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

Additional practice locations (2)

  • 1585 Neil Ave, Columbus, OH 43210-1216 — (614) 292-4041
  • 164 E Main St, Mount Sterling, OH 43143-1145 — (740) 956-1360

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence 4704438112 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.0036640 (OH)

Record details

NPI number1104668102
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorYes
NPI enumeratedJune 10, 2024
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated