NPIMap

Individual provider Active NPI

Andrea Brock, M.D.

  • Neurological Surgery Physician
  • Lehi, UT
National Provider Identifier
1912341009
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
9148362-1205 Issued in UT
Practice address
3000 N Triumph Blvd Ste 330
Lehi, UT 84043-4999
Phone
(385) 345-3560
Fax
(385) 351-3647
NPI assigned
Apr 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 9148362-1205 UT Primary

Addresses

Primary practice location

3000 N Triumph Blvd Ste 330
Lehi, UT 84043-4999

Mailing address

3000 N Triumph Blvd Ste 330
Lehi, UT 84043-4999
Phone (385) 345-3560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20200915002343 UT Practitioner - Neurosurgery 1951624501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Vanderbilt University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

1034 N 500
Provo, UT 84604-3380
Phone (801) 357-7850

395 W Bulldog Blvd
Suite 502
Provo, UT 84604-3323
Phone (801) 357-8818

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion55
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Jun 22, 2022 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Jun 22, 2022 Accepting new patients
Summit Brain and Spine PC Neurological Surgery CurrentSince Aug 1, 2020 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jun 22, 2022 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

380 E 1500 S
Ste 202
Heber City, UT 84032
Phone (435) 657-4600

3000 N Triumph Blvd
Ste 330
Lehi, UT 84043
Phone (385) 345-3560

3000 N Triumph Blvd
Ste 110
Lehi, UT 84043
Phone (385) 345-3555

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

395 W Cougar Blvd
Ste 801
Provo, UT 84604
Phone (801) 229-1054

395 W Cougar Blvd
Ste 502
Provo, UT 84604
Phone (801) 229-1054

1055 N 300 W
Ste 400
Provo, UT 84604
Phone (801) 357-7404

395 W Cougar Blvd
Ste 403
Provo, UT 84604
Phone (801) 357-4141

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

Organizations & group practices 7

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 6

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": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1912341009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N TRIUMPH BLVD STE 330",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434999",
            "telephone_number": "385-345-3560",
            "fax_number": "385-351-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N TRIUMPH BLVD STE 330",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434999",
            "telephone_number": "385-345-3560",
            "fax_number": "385-351-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "ANDREA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "UT",
            "license": "9148362-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.