Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639224140 Individual Practitioner Female Practitioner

Tamara Kaye Brockman , PNP

Nurse Practitioner - Pediatrics • Springboro, OH

Professional Overview & Biography Verified Profile Summary

Tamara Brockman, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Springboro, OH. Practice services are available at 662 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

662 N Main St

Springboro, OH 450669553

Telephone 9376415066
Fax 9375509797
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Springboro, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Springboro, OH (1102 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-28
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OH APRN.CNP.05304

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2143933 (OH)

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Paula Eichmann , PNP

Nurse Practitioner - Pediatrics

NPI 1023430246

Pediatric Nurse Practitioner

Kelsi Gerdeman , FNP-C, ENP-C

Nurse Practitioner - Family

NPI 1023609617

Family Nurse Practitioner (Certified), ENPC

Nicole Garritano , PNP

Nurse Practitioner - Acute Care

NPI 1205145745

Pediatric Nurse Practitioner

Bonnie Albertini , FNP

Nurse Practitioner - Family

NPI 1215484894

Family Nurse Practitioner

Vanessa Douglas , PNP

Nurse Practitioner - Pediatrics

NPI 1336499854

Pediatric Nurse Practitioner

Hannah Winkler , ARNP

Nurse Practitioner

NPI 1396191128

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address October 07, 2023

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

📍
Updated Practice Location January 04, 2021

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

📍
Updated Business Mailing Address January 04, 2021

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

👤
Provider Name / Credentials Updated January 04, 2021

Recorded as TAMARA BROCKMAN, PNP

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

Nurse Practitioner (License #APRN.CNP.05304 in OH)

NPI Profile Active March 21, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2012

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

📍
Updated Business Mailing Address March 21, 2012

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

👤
Provider Name / Credentials Updated March 21, 2012

Recorded as TAMARA BROCKMAN, CPNP

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

Nurse Practitioner (License #RN229335 in OH)

🟢
Initial NPI Registration & Enumeration January 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.