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Tamara Kaye Brockman , PNP

Nurse Practitioner - Pediatrics β€’ Springboro, OH

Active NPI 1639224140 Individual Practitioner Female Practitioner
Practice location in NPPES

662 N Main St
Springboro, OH 450669553

Call 9376415066 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

662 N Main St

Springboro, OH 450669553

Telephone 9376415066
Fax 9375509797
Organization at the Same NPPES Address or Phone
Dayton Children's Specialty Physicians, Inc. Facility NPI 1225192610

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 13 distinct additional practice-address records in Beavercreek, OH; Dayton, OH; Englewood, OH and 5 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

12 standardized 30-day fills in 2014

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$81 in 2014

The total cost of these prescriptions in 2014, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2014.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tamara Brockman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Tamara Brockman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springboro and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Tamara Brockman are from 2014.

8 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Springboro, OH (1,092 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2014), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2014.

CMS Part D Β· Data Year 2014
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amlodipine Besylate Amlodipine Besylate 12 360 $80.64 β€”

Source: CMS Part D by Provider and Drug, 2014; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-28
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES OH APRN.CNP.05304
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2143933 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20160908001508

Enrollment State Jurisdiction

OH

PECOS Control ID

0345536983

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1425 N Fairfield Rd Ste 130

Beavercreek, OH 454322674

Phone: 9373201950

1711 Germantown Pike

Dayton, OH 45417

Phone: 9376413142

792 Northwoods Blvd

Vandalia, OH 453779462

Phone: 9376414236

3333 W Tech Rd

Miamisburg, OH 453420955

Phone: 9376415725

7787 Cox Ln

West Chester, OH 450696549

Phone: 9376415757

5501 Far Hills Ave Ste 200

Dayton, OH 454292203

Phone: 9374362866

4475 Far Hills Ave

Kettering, OH 454292405

Phone: 9376413141

860 Valley St.

Dayton, OH 45404

Phone: 9376413060

3333 W Tech Rd

Miamisburg, OH 453420955

Phone: 9376413400

3301 Dayton Xenia Rd Ste 200

Beavercreek, OH 454322759

Phone: 9376415098

1 Childrens Plz

Dayton, OH 454041815

Phone: 9376413600

9000 N Main St Ste 332

Englewood, OH 454151185

Phone: 9378327337

8501 Old Troy Pike

Huber Heights, OH 454241054

Phone: 9376414360

1 Childrens Plz

Dayton, OH 454041873

Phone: 9376414000

6044 Wilmington Pike

Dayton, OH 454597006

Phone: 9376413270

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Kelsi Gerdeman , FNP-C, ENP-C

Nurse Practitioner - Family

NPI 1023609617

Family Nurse Practitioner (Certified), ENPC

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Business Mailing Address October 07, 2023

Registered at PO BOX 933432, CLEVELAND, OH 441930039 (Tel: 9376413000)

πŸ“
Updated Practice Location January 04, 2021

Registered at 662 N MAIN ST, SPRINGBORO, OH 450669553 (Tel: 9376415066)

πŸ“
Updated Business Mailing Address January 04, 2021

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041815 (Tel: 9376413000)

πŸ‘€
Provider Name / Credentials Updated January 04, 2021

Recorded as TAMARA BROCKMAN, PNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2021

Nurse Practitioner (license number reported to NPPES: OH APRN.CNP.05304)

βœ…
NPI Profile Active March 21, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 21, 2012

Registered at 1 CHILDRENS PLZ # 10, CHILDREN MEDICAL CENTER DEPT OF NEPHROLOGY, DAYTON, OH 454041898 (Tel: 9376413304)

πŸ“
Business Mailing Address (Initial Record) March 21, 2012

Registered at 1321 TERRINGTON WAY, MIAMISBURG, OH 453424280 (Tel: 9372475372)

πŸ‘€
Provider Name / Credentials (Initial Record) March 21, 2012

Recorded as TAMARA BROCKMAN, CPNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2012

Nurse Practitioner (license number reported to NPPES: OH RN229335)

🟒
Initial NPI Registration & Enumeration January 24, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639224140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2007
Last Update: May 28, 2026
Sole Proprietor: No

Mailing Address

Po Box 933432

Cleveland, OH 441930039

Phone: 9376413000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.