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

Kevin A Brokaw, PA-C

Individual provider Physician Assistant · NPI 1487714531

Kevin A Brokaw, PA-C is a Physician Assistant in Traverse City, Michigan. Qualified in 2004, 22 years ago. Practices with Munson Medical Center, a 377-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1105 Sixth St
Traverse City, MI 49684-2345
Phone: (231) 935-7514
Fax: (231) 392-0039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5087 N Royal Dr Ste B, Traverse City, MI 49684-6987 — (231) 935-0440
  • 3074 N Us 31 S, Traverse City, MI 49684-4533 — (231) 929-1234

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004361 (MI)

Record details

NPI number1487714531
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Munson Medical Center — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Traverse City