DR. KIRK EDWARD BROCKMAN M.D. NPI 1235139221

NPI Information

  • NPI: 1235139221
  • Provider Name: DR. KIRK EDWARD BROCKMAN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 1001 CARDWELL ST
    ST. CLAIR, MO
    ZIP 63077
  • Phone: (636) 629-3300

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NPI Details

DR. Kirk Edward Brockman, M.D. is a family medicine in St. Clair, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kirk Edward Brockman, M.D. NPI is 1235139221. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 CARDWELL ST
ST. CLAIR, MO
ZIP 63077
Phone: (636) 629-3300
Fax: (636) 629-7377

The enumeration date for this NPI number is 7/30/2005 and was last updated on 3/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineR2F53MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1152810076MEDICARE PINMISSOURI
20767820001MEDICARE NSCMISSOURI
3P01134547OTHERMISSOURIRAILROAD MEDICARE
4A14049MEDICARE UPINMISSOURI
5202458204MEDICAIDMISSOURI
6129430012MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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