Brock Gomer, PT, DPT, ATC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2646 Issued in ND

Practice address

4200 32ND Ave S
Fargo, ND 58104-8952

Phone

(701) 234-8700

NPI assigned

Sep 1, 2023

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

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apex Physical Therapy and Wellness Center PCGroup PAC ID 6507926235, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Apex Physical Therapy and Wellness Center, PC

  • Physical Therapy Clinic/Center
  • West Fargo, ND
  • NPI 1417109059
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1821874207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 32ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 32ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048952",
            "telephone_number": "701-234-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMER",
        "first_name": "BROCK",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ND",
            "license": "2646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Gogolakis, MS, LPCC, NCC
• Joann Gohl
• Jacob A Goldenberg, MD
• Linda S Goldstone, CCC-SLP
• Rebecca Goltz
• Jessica Gomez
• Jennifer Gomke
• Talita Goncalves Durazzo C Massarotto
• Ciara Joanne Gonzales, PHARMD
• Michael F Gonzales, MD

• Physical Medicine & Rehabilitation Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Physical Medicine & Rehabilitation Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.