Nicholas Ryan Brock

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

120170 Issued in TX

Practice address

3322 Ranch Road 620 S
Austin, TX 78738-6804

Phone

(512) 533-6000

Fax

(512) 533-6001

NPI assigned

Aug 19, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lake Travis Independent School District

  • Local Education Agency (LEA)
  • Austin, TX
  • NPI 1164545844
  NPD (past)

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1750009221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 CUMBERLAND CIR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410428289",
            "telephone_number": "859-652-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 RANCH ROAD 620 S",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386804",
            "telephone_number": "512-533-6000",
            "fax_number": "512-533-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "NICHOLAS",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "120170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brockn@ltisdschools.org",
            "affiliation": "N",
            "endpointDescription": "Professional Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3322 Ranch Road 620 S",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787386804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catherine Ann Brocato
• Jennifer Brock-Garcia, ARNP
• Devorah Russell Brock, MED
• Melissa Elaine Brock, NP
• Michelle Brock, FNP
• Nora Brock
• Brooke Brockman, MA, LPC, NCC
• Linda Marie Brodbeck, PT
• Dana Brode, MSW/MHP
• Donald R Brode, MD

• Speech-Language Pathologist in Austin, TX
• Providers in Austin, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.