Bennett Alexander Brock

Primary specialty

CounselorTaxonomy code 101Y00000X

License

QMHP-R-3693 Issued in OR

Practice address

440 Maxwell Rd
Eugene, OR 97404-2355

Phone

(541) 321-0872

NPI assigned

Oct 2, 2024

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• Transponder

  • Community/Behavioral Health Agency
  • Eugene, OR
  • NPI 1972204949

  Clinical

  NPD

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1326866864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974400827",
            "telephone_number": "541-321-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MAXWELL RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042355",
            "telephone_number": "541-321-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "BENNETT",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-02",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "OR",
            "license": "QMHP-R-3693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomasean Britten, NP
• Marie Britton, DPT
• Thomas Britton, R.PH.
• Jaimie Broadhead
• Jamie Broady, B.A., M.F.A
• Angie Brodigan Neustel
• Steven B Brodsky, LMT
• Kristin Anne Behrends Brody, RD
• Mary Grace Brogdon, L.C.S.W.
• Dawn Brohard, PT, DPT

• Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.