Practitioner Profile

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CHRISTINA LYNN BROCKMAN

License Number: OS16493

Profession
Osteopathic Physician
License Status
CLEAR/Active
Year Began Practicing
Not Provided
License Expiration Date
03/31/2026

Primary Practice Address
CHRISTINA LYNN BROCKMAN
2875 S. Decker Lake Dr Ste 300
SALT LAKE CITY, UT 84119
Medicaid

This practitioner does NOT participate in the Medicaid program.

Staff Privileges
This practitioner has not indicated any staff privileges.
Email Address

Please contact at: Christina.Brockman@mrioa.com

Other State Licenses

This practitioner has indicated the following additional state licensure:

State Profession
Kentucky unrestricted
Ohio unrestricted
Indiana unrestricted
Florida Birth-Related Neurological Injury Compensation Association
If you are a Florida Allopathic (MD) or Osteopathic (DO) Physician, you are required to provide proof of payment of the Florida Birth-Related Neurological Injury Compensation Association (NICA) assessment as required by section 766.314, Florida Statutes. Payment of the initial and annual assessment are required of all Florida Allopathic and Osteopathic Physicians who do not qualify for an exemption as set forth in section 766.314(4)(b)4, Florida Statutes.

This practitioner has indicated that he/she has submitted payment of the assessment.

Specialty Certification

This practitioner holds the following certifications from specialty boards recognized by the Florida board which regulates the profession for which he/she is licensed:

Specialty Board Certification
AMERICAN BOARD OF FAMILY MEDICINE FAMILY PRACTICE

Financial Responsibility

I do not have hospital staff privileges and I have obtained and maintain an unexpired, irrevocable letter of credit, established pursuant to chapter 675 FS, in an amount of not less than $100,000 per claim with a minimum aggregate availability of credit of not less than $300,000.The letter of credit shall be payable to the osteopathic physician as beneficiary upon presentment of a final judgment indicating liability and awarding damages to be paid by the osteopathic physician or upon presentment of a settlement agreement signed by all parties to such agreement when such final judgment or settlement is a result of a claim arising out of the rendering of, or the failure to render, medical care and services. Such letter of credit shall be nonassignable and nontransferable. Such letter of credit shall be issued by any bank or savings association organized and existing under the laws of this state or any bank or savings association organized under the laws of the United States that has its principal place of business in this state or has a branch office which is authorized under the laws of this state or of the United States to receive deposits in this state. OR I do not have hospital staff privileges and I have established and maintain an escrow account consisting of cash or assets eligible for deposit in accordance with s.625.52 FS in the per-claim amounts specified above.

ARNP Protocol Documents

Section 464.012(3), Florida Statutes was amended in the 2017 Legislative Session requiring that an established protocol be maintained at certain locations.

This section removed the requirement that the Board of Nursing reviews or maintains protocols at the department. Instead, established protocols must be maintained on site at the location(s) at which an advanced registered nurse practitioner practices, as well as any updates to protocols.


In the case of multiple supervising physicians in the same group, an advanced registered nurse practitioner must enter into a supervisory protocol with at least one physician within the physician group practice.

Content provided on the ARNP Protocols tab will no longer be updated, as of June 23, 2017. Here is a link to the law change: https://www.flsenate.gov/Session/Bill/2017/543/BillText/er/PDF , see pages 6-7.


If you have further questions, please contact the Florida Board of Nursing at (850) 245-4125. The Board's website address for additional information is: floridasnursing.gov