Tammie Brock

Individual provider Active NPI Private Vehicle · Williston, ND

NPI 1124944335 · NPPES record last updated Jun 24, 2026

Key facts

NPI
1124944335
Entity type
Individual (NPI type 1)
Primary specialty
Private Vehicle 347C00000X
Practice address
110 W Broadway Ste 202
Williston, ND 58801-6056
Phone
(701) 774-6300
NPI assigned
Jun 24, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Williams County Social Services Past Accepting new patients
Williams County Social Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X ND Yes

Addresses

Primary practice location

110 W Broadway Ste 202
Williston, ND 58801-6056

Mailing address

110 W Broadway Ste 202
Williston, ND 58801-6056
Phone (701) 774-6300

Other providers in Williston, ND

All providers in Williston, ND · Private Vehicle in North Dakota

Sources for this page

Verify at the official NPI Registry.