Dr David Brockman, PT, DPT in Gresham, OR - Medicare Physical Therapist Provider

Dr David Brockman, PT, DPT is a medicare enrolled "Physical Therapist" provider in Gresham, Oregon. His current practice location is 24076 Se Stark St Ste 200, Gresham, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 491-1666.

Dr David Brockman is licensed to practice in * (Not Available) (license number ) 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 1295441517.

Contact Information

	Dr David Brockman, PT, DPT
	24076 Se Stark St Ste 200, Gresham, OR 97030-3376
	(503) 491-1666
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr David Brockman
Gender	Male
Speciality	Physical Therapist
Location	24076 Se Stark St Ste 200, Gresham, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295441517
Provider Enumeration Date: 01/30/2023
Last Update Date: 05/06/2025

Medicare PECOS Information:

PECOS PAC ID: 6800269010
Enrollment ID: I20230308001167

Medical Identifiers

Medical identifiers for Dr David Brockman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295441517	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Dr David Brockman allows following entities to bill medicare on his behalf.

Provider Name	Stride Strong Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1215295274 PECOS PAC ID: 9739335712 Enrollment ID: O20120807000341

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. Dr David Brockman 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
Dr David Brockman, PT, DPT 6465 Se 67th Ave Unit A, Portland, OR 97206-6505 Ph: () -	Dr David Brockman, PT, DPT 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 Ph: (503) 491-1666

Reviews and Comments

Physical Therapist in Gresham, OR

Namita Avarsekar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Ne Hood Ave, Gresham, OR 97030 Phone: 503-666-1333 Fax: 503-666-2444
Paul Song Eo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24076 Se Stark St Ste 200, Gresham, OR 97030 Phone: 503-491-1666
Mr. Clem George Eischen Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St, Gresham, OR 97030 Phone: 503-491-1666
Stacia Akers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-3879 Fax: 503-413-4379
Debra Magnani, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 Nw Burnside Rd, Gresham, OR 97030 Phone: 503-215-9141
Kimberly Do, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 200, Gresham, OR 97030 Phone: 714-902-5157
Dr. Sara L Duran, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 200, Gresham, OR 97030 Phone: 503-482-1876

Dr David Brockman, PT, DPT - Medicare Physical Therapist in Gresham, OR