Individual provider Active NPI

Donald Brock, D.O.

  • Emergency Medicine Physician
  • Hillsdale, MI
National Provider Identifier
1710965363
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101011514 Issued in MI
Practice address
168 S Howell St
Hillsdale, MI 49242-2040
Phone
(517) 437-4451
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34009716 OH
Emergency Medicine Physician 207P00000X 04282 KY
Emergency Medicine Physician 207P00000X 5101011514 MI Primary

Addresses

Primary practice location

168 S Howell St
Hillsdale, MI 49242-2040

Mailing address

350 Motor Pkwy Ste 309
Hauppauge, NY 11788-5124
Phone (631) 514-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040507000898 MI Practitioner - Emergency Medicine 9931198777 Reassigns benefits to 2 organizations
I20091215000459 OH Practitioner - Emergency Medicine 9931198777 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

Practice addresses (Care Compare)

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
04282KYMDEmergency Medicine Physician
5101011514MIMDEmergency Medicine Physician
34009716OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hles of Ohio Inc Emergency Medicine CurrentSince May 1, 2011 Accepting new patients
Hles of Ohio, Inc. Emergency Medicine Current Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
McLaren Hospital Group Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
4M Emergency Systems Tod LLC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince May 1, 2011 Accepting new patients
Sound Physicians Emergency Medicine of Michigan, PLLC Emergency Medicine CurrentSince Aug 23, 2023 Accepting new patients
Island Medical House Doctor PC PastSince Feb 5, 2009 Accepting new patients
Nes Michigan, Inc. Emergency Medicine Past Accepting new patients
Nes Washington, Inc. Emergency Medicine PastSince May 22, 2022 Accepting new patients
Mercy Health Youngstown LLC PastSince Aug 1, 2016 Accepting new patients
Nes of Port Huron, Inc. Emergency Medicine Past Accepting new patients
Nes of Shelby, Inc. Emergency Medicine Past Accepting new patients
Nes Ohio Inc Emergency Medicine Past Accepting new patients
Nes Ohio Inc Emergency Medicine Past Accepting new patients
Island Medical Empire State, PLLC Emergency Medicine Past Accepting new patients

Locations

5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

5701 Bow Pointe Dr
Ste 100
Clarkston, MI 48346
Phone (248) 625-2621

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1710965363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MOTOR PKWY STE 309",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885124",
            "telephone_number": "631-514-7600",
            "fax_number": "631-813-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 S HOWELL ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492422040",
            "telephone_number": "517-437-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34009716",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "04282",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101011514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

Verify at the official NPI Registry.