Brock Adam Merritt, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4072 Issued in AZ

Practice address

7550 N 19TH Ave
Phoenix, AZ 85021-7980

Phone

(602) 973-3100

Fax

(602) 973-0978

NPI assigned

Apr 25, 2006

Last updated

Jul 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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 AZ

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

Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

I Am Wellness Az LLCGroup PAC ID 8123497344, 35 clinicians

Progressive Pain Management IncGroup PAC ID 1153490727, 32 clinicians

Hope Diabetes Center LLCGroup PAC ID 4183620487, 23 clinicians

Advanced Minimally Invasive SurgicalGroup PAC ID 4183758527, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Minimally Invasive Surgical

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1295056919

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Hope Diabetes Center, LLC

  dba Clinica Esperanza-Hope Primary Care, LLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1104865757
  Medicare reassignment Care Compare group NPD
• I Am Wellness Az LLC

  • Adult Medicine Physician
  • Chandler, AZ
  • NPI 1184354532
  Medicare reassignment Care Compare group NPD
• Progressive Pain Management Inc

  • Interventional Pain Medicine Physician
  • Casa Grande, AZ
  • NPI 1881866754

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Michael F Esber DPM PC

  • Foot Surgery Podiatrist
  • Sun City West, AZ
  • NPI 1902907504

  Family Medicine

  Medicare reassignment NPD
• Maria Gonzalez Berlari, MD LLC

  dba GB Family Care, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1699025981
  Medicare reassignment
• Advanced Minimally Invasive Surgical

  dba Arizona Foot Health Center

  • Podiatrist
  • Sun City West, AZ
  • NPI 1992486138
  NPD
• Bmi423I

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1407683162
  NPD
• Casa Grande ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Chandler, AZ
  • NPI 1588501068
  NPD (past)
• Floyd I Miller DPM PC

  • Podiatric Clinic/Center
  • Chandler, AZ
  • NPI 1932227139
  NPD (past)
• Gregg Krahn DPM PC

  • Podiatrist
  • Chandler, AZ
  • NPI 1417129248
  NPD (past)
• New Vida Medical LLC

  • Clinic/Center
  • Mesa, AZ
  • NPI 1508689274
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1619933942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 E BETHANY HOME RD",
            "address_2": "STE B112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142151",
            "telephone_number": "602-973-3100",
            "fax_number": "602-973-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217980",
            "telephone_number": "602-973-3100",
            "fax_number": "602-973-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "BROCK",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "866098",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Rae Merrill, M.D.
• Matthew Scott Merrill, D.O.
• Rachel E Merrill, RN
• Sadie Merrill
• Rita Merrique, LCSW
• Janna Layne Merritt, PHARMD, RPH
• Marianne V Merritt, RN
• Marc A. Merroto, MD
• Karen Merry, LPC
• Callie Jo Mersbergen

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.
• 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.