Trey Brock

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

C.2506662-TRNE Issued in OH

Practice address

1205 Tulip CT
Brunswick, OH 44212-3122

Phone

(330) 524-6454

NPI assigned

Nov 13, 2025

Last updated

May 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1194685057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7787 HUB PARKWAY",
            "city": "VALLEY VIEW",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "330-524-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 TULIP CT",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123122",
            "telephone_number": "330-524-6454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 W South Boundary St Ste Kk",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435511707",
            "country_code": "US",
            "telephone_number": "419-392-9691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "TREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-13",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "C.2506662-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Bortnick
• Samantha Josephine Bova, OTR/L
• Natalie A Bowersox, MD
• Aubree Beatrice Brachna, DC.
• Karen J Brocco-Kish, MD
• Ann-Margaret Brown
• Christopher Daniel Brown
• Karen S Brown
• Lisa A Brown
• Richelle Renee Brown, NP-C

• Student in an Organized Health Care Education/Training Program in Brunswick, OH
• Providers in Brunswick, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.