Individual provider Active NPI

Howard Robert Brock, M.D.

  • Family Medicine Physician
  • Spring City, TN
National Provider Identifier
1215970140
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000036269 Issued in TN
Practice address
331 Hinch St
Spring City, TN 37381-5217
Phone
(931) 248-1414
Fax
(931) 707-5178
NPI assigned
Jun 14, 2006
Last updated
Oct 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000036269 TN Primary

Addresses

Primary practice location

331 Hinch St
Spring City, TN 37381-5217

Mailing address

PO Box 3350
Crossville, TN 38557-3350
Phone (931) 248-1414

Other identifiers 5

IdentifierTypeStateIssuer
P00190427OtherTNRAIROAD MEDICARE
3357233OtherTNCIGNA
702025457OtherTNCARITEN HEALTHCARE
4095858OtherTNBLUE CROSS BLUE SHIELD
TN0101OtherTNJOHN DEERE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050126000563 TN Practitioner - Family Practice 7911957063 Reassigns benefits to 3 organizations
Practice locations: Spring City, TN

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of Tennessee PCGroup PAC ID 9234432881, 157 clinicians

Practice addresses (Care Compare)

742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 446-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000036269TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Jul 1, 2014 Accepting new patients
South Central Physicians PLLC CurrentSince Jul 18, 2019 Accepting new patients
Hospital Medicine Services of Tennessee PC Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Rhea Family Physicians, PC Family Medicine Past Accepting new patients
Cumberland Medical Center, Inc. Past Accepting new patients

Locations

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

331 Hinch St
Spring City, TN 37381
Phone (423) 365-4355

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1215970140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3350",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385573350",
            "telephone_number": "931-248-1414",
            "fax_number": "931-707-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 HINCH ST",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373815217",
            "telephone_number": "931-248-1414",
            "fax_number": "931-707-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "HOWARD",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000036269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIROAD MEDICARE",
            "identifier": "P00190427",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3357233",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN HEALTHCARE",
            "identifier": "702025457",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4095858",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN0101",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring City, TN

Sources for this page

Verify at the official NPI Registry.