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

Michael P. Brockman

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1275075152

Michael P. Brockman is a Psychiatric/Mental Health Nurse Practitioner in Moraine, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2016

Practice location Address checks out

5348 Lamme Rd
Moraine, OH 45439-3215
Phone: (937) 534-4651
Fax: (937) 522-8799
Show map & directions

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

Additional practice locations (1)

  • 323 N Broad St, Fairborn, OH 45324 — (937) 318-8103

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.024158 (OH)

Record details

NPI number1275075152
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 9, 2016
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing address5348 Lamme Rd, Moraine, OH 45439-3215

Other providers in Moraine