Individual Healthcare Provider
Julie Anne Brockman, APRN-CNP
Provider's NPPES record last updated: June 1, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1104668102
- Primary Specialty
- Family Medicine — Addiction Medicine
- Practice Location
- Grandville, Michigan
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:48 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Addiction Medicine
Allopathic & Osteopathic Physicians
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Taxonomy code 207QA0401X Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Family Medicine (Michigan)
- 4704438112
- Nurse Practitioner (Ohio)
- APRN.CNP.0036640
Practice Locations
Practice Location
3584 Fairlanes Ave Sw Ste 2
Grandville, Michigan 49418-1583
Phone: (616) 797-2124
Additional Practice Location
164 E Main St
Mount Sterling, Ohio 43143-1145
Phone: (740) 956-1360
Fax: (740) 869-1160
Additional Practice Location
1585 Neil Ave
Columbus, Ohio 43210-1216
Phone: (614) 292-4041
Record Information
- Enumeration Date
- June 10, 2024
- Provider's NPPES Record Last Updated
- June 1, 2026
- Certification Date
- June 1, 2026
- NPISignal NPPES Dataset
- August 2026
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