Individual provider · Type 1 NPI

Julie Anne Brockman, APRN-CNP

Addiction Medicine (Family Medicine) Physician · Grandville, MI

NPI number 1104668102 Active

Practice location

3584 Fairlanes Ave SW Ste 2
Grandville, MI 49418-1583

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559

Other practice locations

  • 1585 Neil Ave, Columbus, OH 43210-1216 · (614) 292-4041
  • 164 E Main St, Mount Sterling, OH 43143-1145 · (740) 956-1360

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician Primary 207QA0401X4704438112 (MI)
Family Nurse Practitioner 363LF0000XAPRN.CNP.0036640 (OH)

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

13 other providers at this address

About NPI 1104668102

Julie Anne Brockman, APRN-CNP's National Provider Identifier is 1104668102, issued on Jun 10, 2024. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Grandville, MI. The record was last updated on Jun 1, 2026.