Individual provider Active NPI

Brooke Kern Brock, APRN

  • Family Nurse Practitioner
  • Coconut Creek, FL
National Provider Identifier
1952641680
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9295455 Issued in FL
Practice address
5300 W Hillsboro Blvd
Suite 207
Coconut Creek, FL 33073-4395
Phone
(954) 570-7644
Fax
(954) 570-7884
NPI assigned
Feb 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9295455 FL Primary

Addresses

Primary practice location

5300 W Hillsboro Blvd
Suite 207
Coconut Creek, FL 33073-4395

Mailing address

5300 W Hillsboro Blvd Ste 207
Coconut Creek, FL 33073-4397
Phone (954) 570-7644

Other names 1

  • Brooke Nicole Kern Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BROOKE.BROCK@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160606002472 FL Practitioner - Nurse Practitioner 5496045320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute for Women'S Health and Body LLCGroup PAC ID 2264752443, 49 clinicians

Practice addresses (Care Compare)

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 965-7300

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9295455FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Women'S Health and Body, LLC CurrentSince Apr 9, 2018 Accepting new patients
Seth J Herbst MD PA PastSince May 15, 1997 Accepting new patients

Locations

5300 W Hillsboro Blvd
Ste 207
Coconut Creek, FL 33073
Phone (561) 479-7030

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

560 Village Blvd
Ste 315
West Palm Beach, FL 33409
Phone (561) 616-9988

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: brooke.brock@hca4.eclinicaldirectplus.com
  • Direct secure messaging: brooke.kern@hca4.eclinicaldirectplus.com

Organizations & group practices 2

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 1

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": "1360972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1952641680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W HILLSBORO BLVD STE 207",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734397",
            "telephone_number": "954-570-7644",
            "fax_number": "954-570-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W HILLSBORO BLVD",
            "address_2": "SUITE 207",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734395",
            "telephone_number": "954-570-7644",
            "fax_number": "954-570-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "BROOKE",
        "middle_name": "KERN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-16",
        "last_updated": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9295455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BROOKE.BROCK@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5300 W Hillsboro Blvd",
            "address_2": "SUITE 207",
            "city": "Coconut Creek",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330734395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "KERN",
            "middle_name": "NICOLE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.