Mindy Brock, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28151225A Issued in IN

Practice address

1240 E 4TH Street Rd Ste C
Seymour, IN 47274-1996

Phone

(812) 522-5730

NPI assigned

Jun 24, 2019

Last updated

Jun 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Practice roles

Interoperability endpoints

• Direct secure messaging: mindy.brock.1@14940.direct.athenahealth.com

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.

• Everside Health at Enkei

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Columbus, IN
  • NPI 1295516474
  NPD (past)
• Everside Health, LLC

  • Clinic/Center
  • Seymour, IN
  • NPI 1639567746
  NPD (past)
• Everside Health, LLC

  • Clinic/Center
  • Martinsville, IN
  • NPI 1861932055
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1609437391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11634 E COUNTY ROAD 900 N",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472749750",
            "telephone_number": "812-525-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E 4TH STREET RD STE C",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472741996",
            "telephone_number": "812-522-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "MINDY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28151225A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Jo Bowman, L.C.S.W
• Diana Louise Brackin, NP
• M Kathleen Bradley, PD
• Amy Lynne Braman, MPT
• Olga Briones-Pacheco
• Clifford W Brooks III, M.D.
• Ethan Brown
• Randall D Brown, MD
• Katherine Brumfield
• Shelie Lyn Brummett, LCSW

• Family Nurse Practitioner in Seymour, IN
• Providers in Seymour, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.