NPIMap

Individual provider Active NPI

Marie Elizabeth Brock

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1013300367
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3791 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-2538
Phone
(615) 322-3000
NPI assigned
Mar 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A15766 CA
Family Medicine Physician 207Q00000X 895 NE
Family Medicine Physician 207Q00000X 3791 TN Primary

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-2538

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 322-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marie.brock.1@1597.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519002096 TN Practitioner - Osteopathic Manipulative Medicine 6406112028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanderbilt Bedford Hospital LLC 12 clinicians

Practice addresses (Care Compare)

1401 Madison St
Shelbyville, TN 37160-3629
Phone (931) 685-2025

1612 N Main St
Shelbyville, TN 37160-2392

Hospital & facility affiliations

  • Adoration Home Health, LLC Home health agency, Madison, TN, CCN 447581
  • Vanderbilt Bedford Hospital Hospital, Shelbyville, TN, CCN 440137
  • Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
895NEMDClinical Social Worker
3791TNMDGeneral Practice Dentistry
20A15766CAMDFamily Medicine Physician
15766CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt Integrated Providers, LLC CurrentSince Feb 3, 2021 Accepting new patients
Vanderbilt Integrated Providers, LLC Family Medicine CurrentSince Feb 3, 2021 Accepting new patients
Vanderbilt Bedford Hospital, LLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients

Locations

1400 Willow Dr
Manchester, TN 37355
Phone (931) 409-2194

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

1612 N Main St
Ste B
Shelbyville, TN 37160
Phone (931) 685-2022

116 Frank Martin Rd
Shelbyville, TN 37160
Phone (931) 684-5554

1612 N Main St
Ste A
Shelbyville, TN 37160
Phone (931) 680-8910

1401 Madison St
Shelbyville, TN 37160
Phone (931) 294-8464

Interoperability endpoints

  • Direct secure messaging: marie.brock.1@1597.direct.athenahealth.com
  • Direct secure messaging: mbrock602240@direct.vumc.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vanderbilt Integrated Primary Care UnionvilleUnionville, TN, CCN 443456 Rural health clinic W-2 Managing Employee Aug 1, 2022
Vanderbilt Integrated Primary Care WartraceWartrace, TN, CCN 443455 Rural health clinic W-2 Managing Employee Aug 1, 2022
Vanderbilt Integrated Primary Care Madison StreetShelbyville, TN, CCN 443458 Rural health clinic W-2 Managing Employee Aug 1, 2022

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1013300367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-322-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322538",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "MARIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A15766",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "895",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "3791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marie.brock.1@1597.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "116 Frank Martin Rd",
            "city": "Shelbyville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371607192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.