Active NPI
Donald Brock, D.O.
- Emergency Medicine Physician
- Hillsdale, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101011514
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04282 | KY | MD | Emergency Medicine Physician |
| 5101011514 | MI | MD | Emergency Medicine Physician |
| 34009716 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hles of Ohio Inc | Emergency Medicine | Current | Accepting new patients |
| Hles of Ohio, Inc. | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Magis Emergency Medicine LLC | Emergency Medicine | Current | Accepting new patients |
| Ohio Emergency Professionals Inc | Emergency Medicine | Current | Accepting new patients |
| McLaren Hospital Group | Emergency Medicine | Current | Accepting new patients |
| 4M Emergency Systems Tod LLC | Emergency Medicine | Current | Accepting new patients |
| Hles of Ohio Inc | Emergency Medicine | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of Michigan, PLLC | Emergency Medicine | Current | Accepting new patients |
| Island Medical House Doctor PC | Past | Accepting new patients | |
| Nes Michigan, Inc. | Emergency Medicine | Past | Accepting new patients |
| Nes Washington, Inc. | Emergency Medicine | Past | Accepting new patients |
| Mercy Health Youngstown LLC | Past | 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.
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
-
- Emergency Medicine Physician
- Adrian, MI
- NPI 1568913473
-
- Emergency Medicine Physician
- Warren, OH
- NPI 1902859556
-
dba Emergency Professional Services of Ohio, Inc.
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Wauseon, OH
- NPI 1679806301
-
- Emergency Medicine Physician
- Parma, OH
- NPI 1801287511
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1982983425
-
- Emergency Medicine Physician
- East Liverpool, OH
- NPI 1487380770
-
- Emergency Medicine Physician
- Coshocton, OH
- NPI 1508301623
-
- Emergency Medicine Physician
- Monroe, MI
- NPI 1982862603
-
- Emergency Medicine Physician
- Port Huron, MI
- NPI 1356585327
-
- Emergency Medicine Physician
- Oneonta, NY
- NPI 1053623041
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.