Brock Express Medical Services LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BROCK EXPRESS MEDICAL SERVICES LLC

Practice address

2326 Calverton Heights Ave
Baltimore, MD 21216-4809

Phone

(443) 449-1269

NPI assigned

Mar 26, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Carol Brockington, DO

Title

Ceo

Phone

(443) 449-1269

Specialties & licenses 1

Addresses

Other names 1

• Brock Express Medical Services LLC Doing business as

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648252800000",
    "number": "1639829286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 CALVERTON HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212164809",
            "telephone_number": "443-449-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 CALVERTON HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212164809",
            "telephone_number": "443-449-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK EXPRESS MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-26",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A",
        "authorized_official_last_name": "BROCKINGTON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-449-1269",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brock Express Medical Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miranda Marguerite Broadney, M.D.
• Broadway Pharmacy LLC
• Nora Haney Broadwell, MD, MBA
• Ruth M Brocato, MD
• Chauna Brocht, LCSW-C
• Adrienne Brock
• Ericca Yolanda Brock
• Gwendolyn Brock
• Keith L Brock, LGPC
• Malcolm V Brock, M.D.

• Health Service Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.