Individual provider · Type 1 NPI
Kent Gregory Brockmann, MD
Mental Health Clinic/Center (Including Community Mental Health Center) · Lake Elmo, MN
NPI number
1245281823
Active
Practice location
8673 Eagle Point Blvd
Lake Elmo, MN 55042
Fax (651) 209-9384
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | 44519 (MN) |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 44519 (MN) |
| Adult Mental Health Clinic/Center | 261QM0850X | 48376-20 (WI) |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
About NPI 1245281823
Kent Gregory Brockmann, MD's National Provider Identifier is 1245281823, issued on May 16, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Lake Elmo, MN. The record was last updated on Jun 25, 2013.