Individual provider Active NPI

Maryann Brock, AUD

  • Audiologist
  • Amherst, NY
National Provider Identifier
1508439324
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3023 Issued in NY
Practice address
3980 Sheridan Dr
Amherst, NY 14226-1727
Phone
(716) 250-2000
NPI assigned
Jul 20, 2021
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3023 NY Primary

Addresses

Primary practice location

3980 Sheridan Dr
Amherst, NY 14226-1727

Mailing address

24 Heathwood Rd
Williamsville, NY 14221-4616
Phone (716) 250-3083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IN, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210813001230 NY Practitioner - Qualified Audiologist 1456755370 Reassigns benefits to 1 organization
I20240911002115 IN Practitioner - Qualified Audiologist 1456755370 Reassigns benefits to 1 organization
I20241210002359 FL Practitioner - Qualified Audiologist 1456755370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cape Coral Ear Nose and Throat Center PLGroup PAC ID 4981628914, 6 clinicians
Florida Gulf Coast Ear Nose and Throat LLCGroup PAC ID 0042249625, 12 clinicians

Practice addresses (Care Compare)

1003 Del Prado Blvd S
Suite 101
Cape Coral, FL 33990-3601
Phone (239) 574-4600

2180 Immokalee Rd
Suite 101
Naples, FL 34110-1422
Phone (239) 514-2225

Merit-based Incentive Payment System (MIPS)

Final score
44.01 of 100Reported as group
Promoting interoperability
0
Improvement activities
40
Cost
80.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2856FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Coral Ear Nose & Throat Center PL CurrentSince Jan 1, 2026 Accepting new patients
Albany ENT & Allergy Services PC CurrentSince Feb 1, 2025 Accepting new patients
Floridagulfcoast Earnoseandthroat LLC CurrentSince Nov 4, 2024 Accepting new patients
Ear, Nose & Throat Associates, PC CurrentSince Sep 1, 2024 Accepting new patients
Dent Neuologic Institute PastSince Jun 5, 2022 Accepting new patients
Buffalo Neurosurgery P.C. PastSince Jun 5, 2022 Accepting new patients

Locations

1003 Del Prado Blvd S
#100
Cape Coral, FL 33990
Phone (239) 574-4600

1003 Del Prado Blvd S
Ste 101
Cape Coral, FL 33990
Phone (239) 574-4600

9250 Corkscrew Rd
Ste 7
Estero, FL 33928
Phone (239) 498-2528

2180 Immokalee Rd
Ste 101
Naples, FL 34110
Phone (239) 514-2225

1169 N Main St
Ste 5
Bluffton, IN 46714
Phone (260) 827-4368

10021 DuPont Circle Ct
Fort Wayne, IN 46825
Phone (219) 426-8117

737 N Detroit St
Warsaw, IN 46580
Phone (260) 436-0259

737 N Detroit St
Ste 108
Warsaw, IN 46580
Phone (888) 881-4368

123 Everett Rd
Albany, NY 12205
Phone (518) 701-2000

1785 Route 9
Ste 201
Halfmoon, NY 12065
Phone (518) 701-2075

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHBEAA
  • Direct secure messaging: maryann.badura.p1@direct.aent.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1508439324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HEATHWOOD RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214616",
            "telephone_number": "716-250-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "telephone_number": "716-250-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "MARYANN",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "3023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.