Kenneth J Brock, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G2918 Issued in TX

Practice address

3901 E Stan Schlueter Loop Ste 202
Killeen, TX 76542-4554

Phone

(254) 634-4244

Fax

(254) 634-8809

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of North Texas HSC, College of Osteopathic Med, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Manfred & Associates, PA

  • Psychiatry Physician
  • Killeen, TX
  • NPI 1093845588
  NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1578593174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 E STAN SCHLUETER LOOP STE 202",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424554",
            "telephone_number": "254-634-4244",
            "fax_number": "254-634-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E STAN SCHLUETER LOOP STE 202",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424554",
            "telephone_number": "254-634-4244",
            "fax_number": "254-634-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G2918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100282602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lois Ann Britton, LPCC
• Sydney Britton, OTR
• Tienecka Marie Britton
• Denisha Jessica Broadway
• Courtney Broady, MA, LPC
• Amanda Jane Brokke, CRNA
• Zoe Grace Bronwasser, RBT
• Jasmine Lee Brooks
• Jeffrey A Brooks, PA-C
• Emma Marie Broussard, NP

• Psychiatry Physician in Killeen, TX
• Providers in Killeen, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.
• 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.