TARA BROCKMAN (NPI# 1619380680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619380680 |
| Entity Type | Individual |
| Full Name | TARA BROCKMAN |
| Credential | D.O. |
| Practice Address |
1801 Hickman Rd Des Moines IA 50314-1505 |
| Practice Telephone | 5152825640 |
| Practice Fax Number | 5152822332 |
| Mailing Telephone | 5152825640 |
| Mailing Fax Number | 5152822332 |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2014-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R-10042 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144794660 | Tara Faith Brockman | Acupuncturist | 1290 Yellow Pine Ave, Boulder, CO 80304-2264 | 2019-01-17 |
| Street Address |
1801 HICKMAN RD |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136581 | Dapka Nicholas Baccam | Surgery | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2005-07-01 |
| 1154920221 | Valerie Meyer | Pharmacist | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-10-20 |
| 1437766995 | Sue Ann Mckernan | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-09-29 |
| 1811500747 | Nadia Hashemi-toroghi | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-08-29 |
| 1265043087 | Andrew Stessman | Pharmacist | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-08-14 |
| 1801405832 | Sarah Hiemer | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-07-27 |
| 1306461496 | Paul Schroeder | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-15 |
| 1548885791 | Walter Mogeni | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-13 |
| 1811512064 | Adrianna Denise Mitchell | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-13 |
| 1639794803 | Thomas David Biederman | Family Medicine | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
| 1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
| 1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
| 1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
| 1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
| 1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
| Find all providers in zip 50314 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851861587 | Clayton Health Systems, Inc | Family Medicine | 351 Francis Avenue, Des Moines, NM 88418 | 2018-11-26 |
| 1982043014 | Angela De Hamer | Family Medicine | 1111 6th Ave Fl 4, Des Moines, IA 50314-2610 | 2013-06-21 |
| 1174962500 | Paul Lyndon Nurmi | Family Medicine | 6601 Sw Ninth Street, Des Moines, IA 50315-6138 | 2013-06-19 |
| 1356780647 | Jenna L W Ridlen | Family Medicine | 1350 Des Moines Street, Suite 110, Des Moines, IA 50309-5507 | 2013-06-19 |
| 1639461007 | Gwen George Luepke | Family Medicine | 2725 Merle Hay Rd, Des Moines, IA 50310-1134 | 2011-05-04 |
| 1083926414 | Steven R Morris | Family Medicine | 840 E University Avenue, Des Moines, IA 50316-2304 | 2010-07-14 |
| 1922258474 | Dennis Lee Anderson | Family Medicine | 5221 Village Run Ave, Unit 1602, Des Moines, IA 50317-4979 | 2008-09-21 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1760681597 | Jose G Aguilar | Family Medicine | 1350 Des Moines St., Ste 110, Des Moines, IA 50309-5526 | 2007-07-12 |
| 1164646691 | Sara Esther Sutton | Family Medicine | 3219 Sw 39th St, Des Moines, IA 50321-1304 | 2007-04-13 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50314 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.