NPIMap

Individual provider Active NPI

Sydney Marie Brock, DO

  • Family Medicine Physician
  • Chelan, WA
National Provider Identifier
1336769843
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61414743 Issued in WA
Practice address
105 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone
(509) 682-6000
NPI assigned
Apr 24, 2020
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 OP61414743 WA Primary

Addresses

Primary practice location

105 S Apple Blossom Dr
Chelan, WA 98816-8810

Mailing address

600 Orondo Ave Ste 1
Wenatchee, WA 98801-2800

Other practice location 1

600 Orondo Ave Ste 1
Wenatchee, WA 98801-2800
Phone (509) 662-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908002033 WA Practitioner - Family Practice 5395169478 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Valley Community HealthGroup PAC ID 7113813874, 64 clinicians

Practice addresses (Care Compare)

105 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 682-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP61414743WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chelan County Public Hospital District No 2 CurrentSince Nov 1, 2023 Accepting new patients
Columbia Valley Community Health CurrentSince Oct 3, 2023 Accepting new patients
Columbia Valley Community Health CurrentSince Oct 3, 2023 Accepting new patients
Columbia Valley Community Health Current Accepting new patients
Chelan County Public Hospital District No 2 CurrentSince Nov 1, 2023 Accepting new patients
Chelan County Public Hospital Dist No 2 CurrentSince Nov 15, 2023 Accepting new patients

Locations

105 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-6000

110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300

600 Orondo Ave
Ste 1
Wenatchee, WA 98801
Phone (509) 664-4575

Interoperability endpoints

  • Direct secure messaging: sydney.brock.1@10575.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1336769843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE STE 1",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S APPLE BLOSSOM DR",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988168810",
            "telephone_number": "509-682-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Orondo Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012800",
            "country_code": "US",
            "telephone_number": "509-662-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "SYDNEY",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61414743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelan, WA

Sources for this page

Verify at the official NPI Registry.