Mandi Leigh Payne Brock, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101251855 Issued in VA

Practice address

214 Fox Hill Rd
Hampton, VA 23669-1758

Phone

(757) 668-2200

Fax

(757) 668-2222

NPI assigned

Jun 26, 2009

Sex

Female

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 VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Childrens Specialty Group PLLC

  • Pediatrics Physician
  • Norfolk, VA
  • NPI 1255354130
  Medicare reassignment NPD (past)
• Childrens Medical Group Inc

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1366597114
  NPD (past)

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1912135013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 FOX HILL RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691758",
            "telephone_number": "757-668-2200",
            "fax_number": "757-668-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 FOX HILL RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691758",
            "telephone_number": "757-668-2200",
            "fax_number": "757-668-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "MANDI",
        "middle_name": "LEIGH PAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101251855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nefertari J Britto, MA, LPC, NCC
• Derrick Maurice Broadaway, DDS
• Tashiko Lynn Bradshaw Broadhead, LMSW
• Broadus International Group Network, LLC
• Katesha Shanee Broadus, LCSW, BC-TMH
• Laurel Olivia Brockenberry, PHD
• Elizabeth Broderick, MD
• Theresa Broderick, M.D.
• Debra Ann Brooks, LCSW
• Kymberlie Sherri Brooks, LPC

• Pediatrics Physician in Hampton, VA
• Providers in Hampton, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.