Active NPI
Sileah Brock, CPM
- Midwife
- Cullman, AL
National Provider Identifier
1245986454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM0014
- Practice address
- 202 1St Ave SE
Cullman, AL 35055-3449 - Phone
- (256) 531-5379
- NPI assigned
- Feb 25, 2022
- Last updated
- Feb 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | LM0014 | AL | Primary |
Addresses
Primary practice location
202 1St Ave SE
Cullman, AL 35055-3449
Mailing address
1102 County Road 1225
Vinemont, AL 35179-6415
Phone (256) 531-5379
Other practice location 1
202 1st Ave SE
Cullman, AL 35055-3449
Phone (256) 531-5379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LM0014 | AL | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1245986454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 COUNTY ROAD 1225",
"city": "VINEMONT",
"state": "AL",
"postal_code": "351796415",
"telephone_number": "256-531-5379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 1ST AVE SE",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350553449",
"telephone_number": "256-531-5379"
}
],
"practiceLocations": [
{
"address_1": "202 1st Ave SE",
"address_purpose": "LOCATION",
"city": "Cullman",
"state": "AL",
"postal_code": "350553449",
"country_code": "US",
"telephone_number": "256-531-5379",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROCK",
"first_name": "SILEAH",
"credential": "CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-25",
"last_updated": "2022-02-25",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AL",
"license": "LM0014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.