Individual
DR. MARCIA AILEEN BOCKBRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
1505 BETHEL RD STE 201, COLUMBUS, OH 43220-2056
(614) 670-4000
(614) 482-4938
Mailing address
2749 TRAILWOOD LN, ANN ARBOR, MI 48105-9743
(614) 286-0305
(614) 482-4938
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
35120118
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301510627
MI
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
06/12/2009
Last updated
05/04/2026
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