Brandon Raymond Brock, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP123128 Issued in TX

Practice address

1011 Brazos Dr
Southlake, TX 76092-6027

Phone

(225) 610-2051

NPI assigned

Mar 18, 2008

Last updated

May 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 27)

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.

• Synapse Anesthesia Services PLLC

  • Anesthesiologist Assistant
  • Hurst, TX
  • NPI 1710652789
  Medicare reassignment NPD Authorized official
• Anesthesiology Consultants of North Texas PA

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1699712596

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Champion Anesthesia Consultants, PLLC

  • Anesthesiology Physician
  • Southlake, TX
  • NPI 1649676024
  Medicare reassignment NPD
• Eagle Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1891151478
  Medicare reassignment NPD
• Marc Daniel Anesthesia, PLLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1497263750
  Medicare reassignment NPD
• Seena Anesthesia PLLC

  • Anesthesiology Physician
  • Burleson, TX
  • NPI 1740676105
  Medicare reassignment NPD
• SP Pain Partners, PLLC

  • Anesthesiology Physician
  • Frisco, TX
  • NPI 1679078075

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Spine Team Texas PA

  • Neurological Surgery Physician
  • Southlake, TX
  • NPI 1629082995
  Medicare reassignment NPD
• Texas Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Southlake, TX
  • NPI 1144673468
  Medicare reassignment NPD
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment NPD
• Valiant Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1588906812
  Medicare reassignment NPD
• Vertex Anesthesia, PLLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1487106175
  Medicare reassignment NPD

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463875200000",
    "number": "1225209240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BRAZOS DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926027",
            "telephone_number": "225-610-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BRAZOS DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926027",
            "telephone_number": "225-610-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "BRANDON",
        "middle_name": "RAYMOND",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2016-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "094793",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP123128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Briggs
• Bright Bloom Therapy
• Brightside Health, Inc.
• Brightside Medical of Michigan PC
• Alexxus Briscoe
• Danielle N Brockelman
• Chante Brooks
• Taylor Robertson Brooks, O.D.
• Jeremy William Brouillette, D.P.M.
• Ashley Brown, AUD

• Certified Registered Nurse Anesthetist in Southlake, TX
• Providers in Southlake, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.