NPIMap

Individual provider Active NPI

Bobby Charles Brock, MD

  • Family Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1881790657
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H5753 Issued in TX
Practice address
66 Gruene Park Dr Ste 205
New Braunfels, TX 78130
Phone
(830) 743-9192
Fax
(830) 743-9193
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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 H5753 TX Primary

Addresses

Primary practice location

66 Gruene Park Dr Ste 205
New Braunfels, TX 78130

Mailing address

8711 Village Dr Ste 114
San Antonio, TX 78217-5419
Phone (830) 743-9192

Other identifiers 3

IdentifierTypeStateIssuer
H5753OtherTXTX LICENSE
PO1477395OtherTXRR MEDICARE
139144317MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20071029000759 TX Practitioner - Family Practice 2466549068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David P Ellent PLLC 57 clinicians

Practice addresses (Care Compare)

11355 Toepperwein Rd
Live Oak, TX 78233-3000
Phone (281) 440-5300

Hospital & facility affiliations

  • Christus Homecare Home health agency, New Braunfels, TX, CCN 677544
  • Advanced Home Health Services Home health agency, Seguin, TX, CCN 677247
  • Resolute Health Hospital Hospital, New Braunfels, TX, CCN 670098
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104
  • New Braunfels Regional Rehabilitation Hospital Inpatient rehabilitation facility, New Braunfels, TX, CCN 673049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H5753TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David P Ellent PLLC CurrentSince Dec 13, 2024 Accepting new patients
David P Ellent PLLC CurrentSince Dec 13, 2024 Accepting new patients
Wellmed Medical Group, PA Family Medicine Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

22751 Professional Dr
Ste 140
Kingwood, TX 77339
Phone (281) 319-8380

11355 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 483-9800

790 Generations Dr
Ste 500
New Braunfels, TX 78130
Phone (512) 994-4159

2255 E Mossy Oaks Rd
Ste 500
Spring, TX 77389
Phone (832) 232-5658

9303 Pinecroft Dr
Ste 340
The Woodlands, TX 77380
Phone (281) 681-0616

26940 Kuykendahl Rd
Ste 200
Tomball, TX 77375
Phone (281) 357-5515

Interoperability endpoints

  • Direct secure messaging: bobby.brock.1@19704.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1881790657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 VILLAGE DR STE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175419",
            "telephone_number": "830-743-9192",
            "fax_number": "830-743-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 GRUENE PARK DR STE 205",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "830-743-9192",
            "fax_number": "830-743-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "BOBBY",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H5753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "H5753",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "PO1477395",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139144317",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.