Sandra Allene Brock

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

101 Twilight St NE
Palm Bay, FL 32907-1151

Phone

(321) 984-0430

NPI assigned

Jun 26, 2008

Last updated

Jun 26, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1134381601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TWILIGHT ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071151",
            "telephone_number": "321-984-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TWILIGHT ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071151",
            "telephone_number": "321-984-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "SANDRA",
        "middle_name": "ALLENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAID PROVIDER NUMBER",
            "identifier": "230526700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Hamzavi MD, LLC (Hammer Orthopaedics and Sports Medicine)
• Briant G Moyles DPM PA
• Brighter Days Ppec of Palm Bay
• Adalgys M Brito, PHARMD
• Patricia Anne Britton
• Sarah Brodax
• Rebecca Brooks, BSW
• Bleahsyng Brown
• Bryan Brown
• Shelanda Sherrall Brown, RN

• Home Health Aide in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.