Sydney Marie Brock, DO
Individual provider Active NPI Family Medicine Physician · Chelan, WA
NPI 1336769843 · NPPES record last updated Aug 2, 2023
Key facts
- NPI
- 1336769843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OP61414743 (WA)
- Practice address
- 105 S Apple Blossom Dr
Chelan, WA 98816-8810 - Phone
- (509) 682-6000
- NPI assigned
- Apr 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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 Health
Practice addresses (Care Compare)
105 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 682-6000
Hospital & facility affiliations
- Central Washington Health Services
- Lake Chelan Community Hospital
- Confluence Health Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230908002033 | WA | Practitioner - Family Practice | 5395169478 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP61414743 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelan County Public Hospital Dist No 2 | Current |
Accepting new patients | |
| Chelan County Public Hospital District No 2 | Current |
Accepting new patients | |
| Columbia Valley Community Health | Current |
Accepting new patients | |
| Chelan County Public Hospital District No 2 | Current |
Accepting new patients | |
| Columbia Valley Community Health | Current |
Accepting new patients | |
| Columbia Valley Community Health | Current | 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
- sydney.brock.1@10575.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP61414743 | WA | Yes |
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
Other providers in Chelan, WA
- Francisco Blanco
- Boulder Physical Therapy, PLLC
- Tabetha Hale Bradley
- Catherine L Bray
- Barbara Brink
- Ross Brown
- Sydney Frances Marie Brownlee
- Bree Anna Burton
- Jannel Burton
- Kalie Ellen Buskeness
All providers in Chelan, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.