Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Julie Anne Brockman, APRN-CNP

Individual provider Addiction Medicine (Family Medicine) Physician · NPI 1104668102

Julie Anne Brockman, APRN-CNP is a Nurse Practitioner in Grandville, Michigan. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Michigan and Ohio.

Years since qualifying
2
Licensed in
MI, OH
In the registry since
2024
Specialties on file
2

Practice location Address checks out

3584 Fairlanes Ave SW Ste 2
Grandville, MI 49418-1583
Phone: (616) 797-2124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1585 Neil Ave, Columbus, OH 43210-1216 — (614) 292-4041
  • 164 E Main St, Mount Sterling, OH 43143-1145 — (740) 956-1360

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence 4704438112 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.0036640 (OH)

Record details

NPI number1104668102
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorYes
NPI enumeratedJune 10, 2024
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.