NPIMap

Individual provider Active NPI

Brock Wells Horsley, D.O.

  • Family Medicine Physician
  • Mt Pleasant, MI
National Provider Identifier
1861451742
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101014871 Issued in MI
Practice address
2790 Health Pkwy
Mount Pleasant, MI 48858-6934
Phone
(989) 953-5320
Fax
(989) 802-8815
NPI assigned
Mar 21, 2006
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101014871 MI Primary

Addresses

Primary practice location

2790 Health Pkwy
Mount Pleasant, MI 48858-6934

Mailing address

2790 Health Pkwy
Mt Pleasant, MI 48858-6934
Phone (989) 953-5320

Other identifiers 5

IdentifierTypeStateIssuer
1012731OtherMIMCLAREN HEALTH PLAN
610677100OtherMIUS DEPT OF LABOR
114637450MedicaidMI
0853701105OtherMIBCBS OF MICHIGAN NUMBER
0101842OtherMIPHYSICIANS HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000171 MI Practitioner - Family Practice 2961461587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Isabella Citizens for Health IncGroup PAC ID 9335386051, 12 clinicians

Practice addresses (Care Compare)

2790 Health Pkwy
Mount Pleasant, MI 48858-6934
Phone (989) 953-5320

522 E Main St
Farwell, MI 48622-9118
Phone (989) 544-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Isabella Citizens for Health, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Isabella Citizens for Health Inc CurrentSince Jan 1, 2020 Accepting new patients
Isabella Citizens for Health Inc Current Accepting new patients
Mymichigan Medical Center Alpena Past Accepting new patients

Locations

522 E Main St
Farwell, MI 48622
Phone (989) 251-1040

2790 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 779-5270

Interoperability endpoints

  • Direct secure messaging: bhorsley93402@mymichiganhealth.midirect.net
  • Direct secure messaging: brock.horsley.p1@direct.isabellahealth.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1861451742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 HEALTH PKWY",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488586934",
            "telephone_number": "989-953-5320",
            "fax_number": "989-953-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 HEALTH PKWY",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488586934",
            "telephone_number": "989-953-5320",
            "fax_number": "989-802-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSLEY",
        "first_name": "BROCK",
        "middle_name": "WELLS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1012731",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "610677100",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114637450",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN NUMBER",
            "identifier": "0853701105",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "0101842",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.