Individual provider Active NPI

Rachel M Brock, MD

  • Otolaryngology Physician
  • Rockledge, FL
National Provider Identifier
1124288295
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME121769 Issued in FL
Practice address
6525 3Rd St Ste 208
Rockledge, FL 32955-5752
Phone
(321) 366-7607
Fax
(321) 600-2131
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME121769 FL Primary

Addresses

Primary practice location

6525 3Rd St Ste 208
Rockledge, FL 32955-5752

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 729-8079

Other practice location 1

1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 729-8079

Other practice location 2

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 729-8079

Other identifiers 1

IdentifierTypeStateIssuer
126218500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141212000630 FL Practitioner - Otolaryngology 6901030238 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of South Florida College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Ear Nose and Throat Center PAGroup PAC ID 6204904634, 7 clinicians

Practice addresses (Care Compare)

1099 Florida S Ave
Rockledge, FL 32955-2138
Phone (321) 632-6900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.52 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Ear Nose & Throat Center PA Otolaryngology CurrentSince Jan 1, 2015 Accepting new patients

Locations

1099 Florida Ave S
Rockledge, FL 32955
Phone (321) 632-6900

Interoperability endpoints

  • Direct secure messaging: rbrock71563@epicdirect.hf.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.133

Organizations & group practices 3

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 5

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1124288295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-729-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 3RD ST STE 208",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555752",
            "telephone_number": "321-366-7607",
            "fax_number": "321-600-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-729-8079",
            "fax_number": "321-984-8483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-729-8079",
            "fax_number": "321-984-8483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "RACHEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME121769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126218500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.