# DR. MARCIA AILEEN BOCKBRADER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1356578710
- **Gender:** F
- **Credential:** MD PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1744R1102X | Research Study Specialist | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 35120118 | OH | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301510627 | MI | Yes |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 35120118 | OH | — |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 4301510627 | MI | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | 35120118 | OH | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | 4301510627 | MI | — |
| 246ZE0500X | EEG Specialist/Technologist | — | — | — |

## Other

- **Enumeration date:** 06/12/2009
- **Last updated:** 06/29/2026