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

Michael Brockett, MD

Individual provider Physician Assistant · NPI 1588835573

Michael Brockett, MD is a Physician Assistant in Lawrenceville, Georgia. Qualified in 2006, 20 years ago. Practices with Advanced Neurosurgery Associates LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
20
Licensed in
MA
In the registry since
2008
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

631 Professional Dr Ste 360
Lawrenceville, GA 30046-3367
Phone: (781) 744-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2316 (MA)

Record details

NPI number1588835573
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 18, 2008
Last updated in NPPESMarch 25, 2016
Mailing address631 Professional Dr, Suite 360, Lawrenceville, GA 30046-3367

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Advanced Neurosurgery Associates Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lawrenceville