Ronald Max Brock

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401015502 Issued in MI

Practice address

315 W Larkin St
Midland, MI 48640-5152

Phone

(989) 835-7511

NPI assigned

Apr 23, 2019

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

Practice roles

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.

• Fresh Aire Samaritan Counseling Center

  • Community/Behavioral Health Agency
  • Midland, MI
  • NPI 1235491556
  NPD (past)

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1225692452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W LARKIN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405152",
            "telephone_number": "989-835-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W LARKIN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405152",
            "telephone_number": "989-835-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "RONALD",
        "middle_name": "MAX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian R Copeland MD PC
• Jane Brines, NP-C
• Megan Rose Brinkman
• Alexandria Briones
• Darren Colby Briseno, PA-C
• Brookdale Senior Living Communities, Inc.
• Brookdale Senior Living Communities, Inc.
• Gary Brookhouse, RPH
• Anne Marie Brooks, LMSW
• Sarah Lynn Brooks, NP

• Counselor in Midland, MI
• Providers in Midland, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.