Justin Clark Brockbank, MD is a medicare enrolled "Pediatrics - Sleep Medicine" physician in Chesterfield, Virginia. His current practice location is
7300 Ashlake Pkwy Ste 200, Chesterfield, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 256-8282.
Justin Clark Brockbank is licensed to practice in Virginia (license number 0101243493) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396954699.
Physician's Profile
| Full Name | Justin Clark Brockbank |
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| Gender | Male |
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| Speciality | Pediatrics - Sleep Medicine |
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| Location | 7300 Ashlake Pkwy Ste 200, Chesterfield, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396954699
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 12/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729147020
- Enrollment ID: I20081031000089
Medical Identifiers
Medical identifiers for Justin Clark Brockbank such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396954699 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2080P0214X | Pediatrics - Pediatric Pulmonology | 0101243493 (Virginia) | Secondary |
| 2080S0012X | Pediatrics - Sleep Medicine | 0101243493 (Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Justin Clark Brockbank allows following entities to bill medicare on his behalf.
| Entity Name | Mcv Associated Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin Clark Brockbank is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Justin Clark Brockbank, MD 7300 Ashlake Pkwy Ste 200, Chesterfield, VA 23832-2827 Ph: (804) 256-8282 | Justin Clark Brockbank, MD 7300 Ashlake Pkwy Ste 200, Chesterfield, VA 23832-2827 Ph: (804) 256-8282 |
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