Individual
BRIAN L. STOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1081 BROAD RIPPLE AVE, INDIANAPOLIS, IN 46220-2034
(317) 808-0350
(317) 808-0349
Mailing address
33900 HARPER AVE STE 104, CLINTON TOWNSHIP, MI 48035-4258
(586) 416-9100
(586) 416-9103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009690A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100257920
GROUP MEDICAID
IN
01
—
156546
GROUP MEDICARE
IN
05
—
200930400A
—
IN
Enumeration date
12/10/2008
Last updated
04/23/2026
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