CAITLIN MORAN BROCKENSHIRE (MD) – Student in an Organized Health Care Education/Training Program, NPI 1053974949

CAITLIN MORAN BROCKENSHIRE (MD) is a healthcare provider. based in Memphis, Tennessee. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 67573 (TN). The NPI Number for CAITLIN MORAN BROCKENSHIRE (MD) is 1053974949

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CAITLIN MORAN BROCKENSHIRE (MD)
NPI
1053974949
Phone
(901) 448-6661
Address
920 MADISON AVE STE 447
Enumeration Date
17 April 2019
Last Update Date
17 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
9015227700
Graduation Year
2019 (7 years ago)
PAC ID
8224370390
Group Practice PAC ID
1254235914
Professional Enrollment ID
I20240501001661
Address ID
TN381202300ME6325XBLVD300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:7State licenses:2Digital endpointsOther names

609 NEUROLOGY in TN

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Provider Addresses for CAITLIN MORAN BROCKENSHIRE (MD)

  • Madison Avenue, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38163, United States

    MEMPHIS, TN 381033438

    Phone: (901) 448-6661

    Type: Mailing

  • 6325 HUMPHREYS BLVD

    MEMPHIS, TN 381202300

    Phone: (901) 522-7700

    Fax: (901) 522-2600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $370.

Total Amount is formed as General ($370) + Research ($0) + Ownership ($0) = $370.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($144).

Total Amount

$370

General + Research + Ownership

Payments

12

Total payment records

General Amount

$370

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240428000092INeurologyMSTBD
I20240501001661INeurologyTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254235914View full group profile
NameSpecialtyState
N E U R O S U R G E R YTN
N E U R O S U R G E R YTN
Physician AssistantTN
N E U R O L O G YTN
Pain Management, Interventional Pain Management, AnesthesiologyMS
N E U R O S U R G E R YTN
N E U R O S U R G E R YMS
N E U R O S U R G E R YTN
N E U R O S U R G E R YTX
Physical Medicine And RehabilitationTN

Reviews

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Frequently asked questions

How do I look up CAITLIN MORAN BROCKENSHIRE (MD) by NPI?
Use NPI 1053974949 when you need to reference CAITLIN MORAN BROCKENSHIRE (MD) in forms, claims, or directories.
Is CAITLIN MORAN BROCKENSHIRE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize CAITLIN MORAN BROCKENSHIRE (MD)'s specialty in plain language?
Clinically, the directory lists CAITLIN MORAN BROCKENSHIRE (MD) with Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
What location shows for CAITLIN MORAN BROCKENSHIRE (MD)?
We surface Memphis, Tennessee for CAITLIN MORAN BROCKENSHIRE (MD) based on available NPPES addresses.
What if Memphis, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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