Berkley Laurel Brock

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

7125 Hitt Rd
Mobile, AL 36695-4431

Phone

(251) 422-1827

NPI assigned

Apr 29, 2021

Sex

Female

Sole proprietor

No

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.

• The Core Project, Inc.

  • Behavior Analyst
  • Mobile, AL
  • NPI 1306485081
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2021.

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1104409077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 WESTBURY DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093337",
            "telephone_number": "205-566-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 HITT RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954431",
            "telephone_number": "251-422-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "BERKLEY",
        "middle_name": "LAUREL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Kuehn Broadfoot, CCC-SLP
• William Eric Broadfoot, MD
• Justin Broadhead, DO
• Alexandra J Brock
• Benjamin Brock, PA
• Cameron Leighton Brock, PA-S
• Catherine Wesson Brock, O.T.R./L
• Larry Dale Brock, M.D
• Harmony Rae Brogden, PA
• Kayla Brooke

• All providers in Mobile, AL
• Behavior Analyst in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.