NPIMap

Individual provider Active NPI

Brock Gregory McDaniel, MD

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1427025071
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A-78657 Issued in CA
Practice address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A-78657 CA Primary

Addresses

Primary practice location

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091012000209 CA Practitioner - Diagnostic Radiology 3577458710 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians
Kern Radiology Medical Group IncGroup PAC ID 7214826460, 94 clinicians

Practice addresses (Care Compare)

1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 332-4470

2301 Bahamas Dr
Bakersfield, CA 93309-0663
Phone (661) 326-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40
Cost
77.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-78657CAMDDiagnostic Radiology Physician
36196TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Southwest Medical Associates, Inc CurrentSince Apr 1, 2025 Accepting new patients
Lambert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Enloe Medical Center CurrentSince Jul 2, 2025 Accepting new patients
Enloe Medical Center CurrentSince Jul 2, 2025 Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Southwest Medical Associates Inc. Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Jackson Madison County General Hospital Family Medicine Past Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

4500 Morning Dr
Ste 202
Bakersfield, CA 93306
Phone (661) 326-6900

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

2301 Bahamas Dr
Bakersfield, CA 93309

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

12401 Washington Blvd
#1182
Whittier, CA 90602
Phone (562) 698-0611

Interoperability endpoints

  • Direct secure messaging: bmcdaniel190623@uihcdirect.org

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1427025071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "BROCK",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A-78657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.