JUSTIN CLARK BROCKBANK (MD) – Pediatric Sleep Medicine Physician, NPI 1396954699
Pediatric Sleep Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
582 PEDIATRIC MEDICINE in VA
Provider Addresses for JUSTIN CLARK BROCKBANK (MD)
7300 ASHLAKE PKWY STE 200
CHESTERFIELD, VA 238322827
Phone: (804) 256-8282
Fax: (804) 256-8288
Type: Mailing
6011 E WOODMEN RD STE 115
COLORADO SPRINGS, CO 809232603
Phone: (719) 638-1122
Fax: (719) 638-1123
Type: Location
9235 N UNION BLVD STE 150 334
COLORADO SPRINGS, CO 809207831
Phone: (719) 638-1122
Fax: (719) 638-1123
Type: Mailing
Richmond Drive, Middletown, New Castle County, Delaware, United States
RICHMOND, VA 232911734
Phone: (804) 358-6100
Fax: (804) 342-7619
Type: Mailing
VCU Medical Center, 1250, East Marshall Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States
PEDIATRICS
RICHMOND, VA 232985051
Phone: (804) 828-2982
Fax: (804) 828-2983
Type: Location
2035 Waterside Rd Ste 105
Prince George, VA 238751265
Phone: (804) 256-8282
Fax: (804) 256-8288
Type: Location
8006 Discovery Dr Ste 400
Henrico, VA 232298600
Phone: (804) 256-8282
Fax: (804) 256-8288
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $170.
Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.
Last reported payment date: 2024-05-03 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($170).
Total Amount
$170
General + Research + Ownership
Payments
1
Total payment records
General Amount
$170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $170 |
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: 2008-10-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081031000089 | I | Pediatric Medicine | VA | TBD |
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.
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 23832)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Internal Medicine | VA | |
| Physician Assistant | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | MD | |
| Physician Assistant | VA |
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