Jana Johnson Brock, MD
Individual provider Active NPI Family Medicine Physician · Corsicana, TX
NPI 1124121108 · NPPES record last updated Apr 3, 2023
Key facts
- NPI
- 1124121108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- P0011 (TX)
- Practice address
- 3108 W State Highway 22
Corsicana, TX 75110-2435 - Phone
- (660) 833-7554
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Texas Medical School at Houston, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3108 W State Hwy 22
Corsicana, TX 75110-2435
Phone (903) 257-3668
Hospital & facility affiliations
- Elara Caring
- Navarro Regional Hospital
- Baylor Scott & White Medical Center- Waxahachie
- Baylor University Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140908001309 | TX | Practitioner - Family Practice |
3375610520 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0011 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brock Medical, PLLC | Family Medicine | Current |
Accepting new patients |
| Regional Employee Assistance Program Inc | Family Medicine | Current |
Accepting new patients |
| Regional Employee Assistance Program Inc | Family Medicine | Current |
Accepting new patients |
| Moberly Physicians Corp | Family Medicine | Past | Accepting new patients |
Locations
301 Hospital Dr
#150
Corsicana, TX 75110
Phone (903) 641-4800
3108 W State Highway 22
Corsicana, TX 75110
Phone (903) 257-3668
Interoperability endpoints
- jana.brock.1@28776.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | P0011 | TX | |
| Family Medicine Physician | 207Q00000X | P0011 | TX | Yes |
Addresses
Primary practice location
3108 W State Highway 22
Corsicana, TX 75110-2435
Mailing address
3108 W State Highway 22
Corsicana, TX 75110-2435
Other providers in Corsicana, TX
- Lynette Bowker
- Richard Louis Boyer
- Kalin Bracero
- Brighter Horizon Pediatrics PLLC
- Brock Medical, PLLC
- Brookdale Senior Living Communities, Inc.
- Brookshire Grocery Company
- Brookshire Grocery Company
- Caren Lynette Brown-Smith
- Kelly Brown
All providers in Corsicana, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.