NPIMap

Individual provider Active NPI

Dale Wayne Brock, APN

  • Nurse Practitioner
  • Winnie, TX
National Provider Identifier
1922055292
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
603165 Issued in TX
Practice address
538 Broadway
Winnie, TX 77665-7600
Phone
(409) 296-6000
Fax
(409) 296-6372
NPI assigned
May 30, 2006
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 603165 TX Primary
Family Nurse Practitioner 363LF0000X 603165 TX

Addresses

Primary practice location

538 Broadway
Winnie, TX 77665-7600

Mailing address

538 Broadway
Winnie, TX 77665-7600
Phone (409) 296-6000

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
I20031230000720 TX Practitioner - Nurse Practitioner 2860390614 Reassigns benefits to 3 organizations
Practice locations: Liberty, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winnie Community Hospital LLCGroup PAC ID 3375440894, shared by 7 NPIs, 23 clinicians

Practice addresses (Care Compare)

538 Broadway
Winnie, TX 77665-7600
Phone (409) 296-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
603165TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winnie Community Hospital, LLC CurrentSince Aug 1, 2025 Accepting new patients
Winnie Community Hospital LLC Current Accepting new patients
Liberty County Hospital District No 1 CurrentSince Jun 4, 2018 Accepting new patients
Thompson Outpatient Clinic, LLC CurrentSince Apr 17, 2022 Accepting new patients
Liberty County Hospital District No 1 CurrentSince Jun 4, 2018 Accepting new patients
Winnie Community Hospital, L.L.C. CurrentSince Jun 9, 2025 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Nov 29, 2019 Accepting new patients
Dale W Brock Nurse Practitioner PastSince Mar 10, 2015 Accepting new patients
G.T. Emergency Physicians PLLC Past Accepting new patients
Southeast Emergency Physician Associates, P.a. Past Accepting new patients
Texas Emergency Room Services , PA Past Accepting new patients
Sonographic Imaging Services Past Accepting new patients
Treeline Living Center LTD Past Accepting new patients
Winnie Community Hospital, LLC Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

1201 N Travis St
Liberty, TX 77575
Phone (936) 334-8800

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

538 Broadway
Winnie, TX 77665
Phone (409) 296-6000

Interoperability endpoints

  • Direct secure messaging: dbrock@wcrclnd.securechart.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1922055292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 BROADWAY",
            "city": "WINNIE",
            "state": "TX",
            "postal_code": "776657600",
            "telephone_number": "409-296-6000",
            "fax_number": "409-296-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 BROADWAY",
            "city": "WINNIE",
            "state": "TX",
            "postal_code": "776657600",
            "telephone_number": "409-296-6000",
            "fax_number": "409-296-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "DALE",
        "middle_name": "WAYNE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "603165",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "603165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnie, TX

Sources for this page

Verify at the official NPI Registry.