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

Mrs. Andrea Rae Brockman, MMS, PA-C

Individual provider Medical Physician Assistant · NPI 1043519929

Mrs. Andrea Rae Brockman, MMS, PA-C is a Medical Physician Assistant in Wellington, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
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

1397 Medical Park Blvd Ste 220
Wellington, FL 33414-3187
Phone: (561) 784-0202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9105703 (FL)

Record details

NPI number1043519929
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorNo
NPI enumeratedMarch 18, 2011
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021

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