Ronald Leroy Brock, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

45044 Issued in GA

Practice address

660 Lanier Park Drive
Ste a
Gainesville, GA 30501-2075

Phone

(770) 535-0000

Fax

(770) 532-3911

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/uc32209_northeastgeorgiaurologicassoc

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.

• Northeast Georgia Urological Assoc., P.C.

  • Specialist
  • Gainesville, GA
  • NPI 1205916483
  NPD

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1114926912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420",
            "fax_number": "770-219-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LANIER PARK DRIVE",
            "address_2": "STE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012075",
            "telephone_number": "770-535-0000",
            "fax_number": "770-532-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "RONALD",
        "middle_name": "LEROY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "045044",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "45044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00877632A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Reeder Britt, M.ED., CCC-A
• Thomas Todd Britt, DMD
• Sherry Diane Broadwell, PHD
• Brandy Lynn Brock, LPC
• Deborah Brock, CADC-II
• Sherry Brock, MD
• Timothy Craig Brock, M.D.
• Warner Brock, P.T.,CMDT, MBA, CEAS
• Michelle Marie Brooks, MD
• Rachael Leah Brooks, PA

• Urology Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.