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

Taylor Brockman, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003551284

Taylor Brockman, MD is an Internal Medicine in Minneapolis, Minnesota. Graduated from Medical College of Wisconsin in 2022, 4 years ago. Practices as a sole proprietor.

Years since qualifying
4
Trained at
Medical College of Wisconsin
In the registry since
2022
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

420 Delaware Street SE Mmc 913
Minneapolis, MN 55455-0341
Phone: (612) 624-0990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1003551284
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 2, 2022
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022
Mailing address420 Delaware Street Se, Mmc 913, Minneapolis, MN 55455-0341

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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