Individual provider · Type 1 NPI

Brandeis Brockman, CRNP

Family Nurse Practitioner · Bala Cynwyd, PA

NPI number 1114289402 Active

Practice location

15 Presidential Blvd
Bala Cynwyd, PA 19004-1006

Mailing address

2630 W Girard Ave Unit 9137
Philadelphia, PA 19130-1483

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP012117 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1114289402

Brandeis Brockman, CRNP's National Provider Identifier is 1114289402, issued on Jun 12, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bala Cynwyd, PA. The record was last updated on May 13, 2026.