Active NPI
Brock Medical LLC
- Durable Medical Equipment & Medical Supplies
- Mount Pleasant, SC
National Provider Identifier
1609692060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250519003394 | SC | DME Supplier - Medical Supply Company | 5092233452 | Practice locations: Mount Pleasant, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Brock Medical | Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.