Donche Tromaine Brock, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

115398 Issued in NE

Practice address

1304 Brynlee LN
Mansfield, TX 76063-2038

Phone

(225) 445-1921

NPI assigned

Dec 30, 2021

Last updated

Mar 13, 2025By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beaumont Emergency Medicine Associates PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Beaumont, TX
  • NPI 1881716983
  Medicare reassignment NPD

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1346900420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12050 PACIFIC ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543507",
            "telephone_number": "225-445-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BRYNLEE LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632038",
            "telephone_number": "225-445-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "DONCHE",
        "middle_name": "TROMAINE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-30",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "115398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sade Briscoe, FNP-C
• Broad Park Dental PA
• Broad Park Family Dentistry
• Broad Park Imaging, LLC
• Nicolas Austin Broadway
• Patricia Charlene Laurie Brock, D.O.
• Sydney Brock
• Brookdale Senior Living Communities, Inc. (Brookdale Mansfield)
• Brookway Therapy at Home LLC
• Angela Thomas Brown, M.S. CCC-SLP

• Acute Care Nurse Practitioner in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.