DR. KENT GREGORY BROCKMANN MD
NPI 1245281823
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lake Elmo, MN
NPI Status: Active since May 16, 2006
Contact Information
8673 EAGLE POINT BLVD
LAKE ELMO, MN
ZIP 55042
Phone: (651) 209-9383
Fax: (651) 209-9384
- Individual
- Male
- Clinic/Center
- Mental Health (Including Community Menta...
About KENT BROCKMANN
This page provides the complete NPI Profile along with additional information for Kent Brockmann, a provider established in Lake Elmo, Minnesota with a medical specialization in Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1245281823 assigned on May 2006. The practitioner's primary taxonomy code is 261QM0801X with license number 44519 (MN). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1245281823
- Provider Name
- DR. KENT GREGORY BROCKMANN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8673 EAGLE POINT BLVD LAKE ELMO, MN 55042
- Location Phone
- (651) 209-9383
- Location Fax
- (651) 209-9384
- Mailing Address
- 8673 EAGLE POINT BLVD LAKE ELMO, MN 55042
- Mailing Phone
- (651) 209-9383
- Mailing Fax
- (651) 209-9384
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-16-2006
- Last Update Date
- 06-25-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- 44519
- License State
- MN
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 44519 (MN) |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | 48376-20 (WI) |
| 3 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 273L3BR | OTHER (01) | MN | BLUECROSS/BLUESHIELD MN |
| 15-45530 | OTHER (01) | MN | MEDICA/UBH ID |
| 087897900 | MEDICAID (05) | MN | |
| H63774 | MEDICARE UPIN (02) | ||
| 260002523 | MEDICARE ID-TYPE UNSPECIFIED (04) | MN | MEDICARE ID |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 2 | 8 | 1 | 8 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 8 | 2 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 8 + 2 + 8 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1245281823 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245281823, enumerated in the NPI registry as an "individual" on May 16, 2006
The provider is located at 8673 Eagle Point Blvd Lake Elmo, Mn 55042 and the phone number is (651) 209-9383
The provider's speciality is Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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