Organization Active NPI

Brock Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Mount Pleasant, SC
National Provider Identifier
1609692060
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BROCK MEDICAL LLC
Practice address
537 Long Point Rd Ste 104
Mount Pleasant, SC 29464-8279
Phone
(843) 991-4836
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Daniel Connor Gilsenan
Title
President
Phone
(843) 991-4836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

537 Long Point Rd Ste 104
Mount Pleasant, SC 29464-8279

Mailing address

PO Box 707
Mount Pleasant, SC 29465-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250519003394 SC DME Supplier - Medical Supply Company 5092233452 Practice locations: Mount Pleasant, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Brock Medical537 Long Point Rd, Mount Pleasant, SC 29464-8279(888) 854-0888 Surgical Dressings Accepts assignmentParticipating since Mar 19, 2025

National Provider Directory

National Provider Directory

Locations

537 Long Point Rd
Ste 104
Mount Pleasant, SC 29464
Phone (843) 991-4836

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1609692060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294650707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 LONG POINT RD STE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648279",
            "telephone_number": "843-991-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "GILSENAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CONNOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-991-4836"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.