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

Michael Brockman, DNP

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407687486

Michael Brockman, DNP is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2025, 1 year ago. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2024
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

200 E Chestnut St
Louisville, KY 40202-1831
Phone: (502) 588-0800
Fax: (502) 588-0801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4049037 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407687486
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorNo
NPI enumeratedAugust 12, 2024
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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