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MALLORY BROCK
NPI 1104769579
Speech-Language Pathologist in Cookeville, TN

Active since April 10, 2026Accepts Medicare Assignment
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501(931) 528-2541 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mallory Brock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY BROCK (NPI 1104769579) is an individual speech-language pathologist provider in Cookeville, Tennessee, licensed in Tennessee (0884) and active in the NPI registry since April 2026. She is a graduate of University Of South Alabama College Of Medicine (2023).

NPPES Registry Identity

NPI1104769579
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMALLORY BROCK
Location Address1 MEDICAL CENTER BLVDCookeville, TN 38501-4294
Mailing Address75 E Veterans Dr Apt A302Cookeville, TN 38501-4698 · (251) 709-9984
Phone(931) 528-2541
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2023
Enumeration DateApril 10, 2026
NPPES CertifiedApril 10, 2026
✔ NPI 1104769579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in TN · 0884✔ Licensed in AL · 6007
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1 MEDICAL CENTER BLVD, Cookeville, TN 38501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mallory Brock is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981173135
PECOS Enrollment IDI20260515003785

Medicare Billing Reassignment

Medicare enrollment records show Mallory Brock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Encore Rehabilitation, Inc
136 mi
Physical Therapy
251 JOHNSTON ST, SUITE 300
Decatur, AL 35601
  • Reassigned Medicare billing, Alabama enrollment
  • 213 clinicians in this Medicare group
NPI 1003819608 (256) 340-9708

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANNY J STRANGE MD
Anesthesiology
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Putnam County (931) 783-2334
COOKEVILLE REGIONAL MEDICAL CENTER
Hospitalist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Putnam County (931) 783-5857
MR. STEPHEN MATTHEW SARR
Nurse Practitioner (Family)
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Putnam County (931) 528-2541
MR. NISHAN BABU POKHREL M.D.
Internal Medicine
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Putnam County (931) 528-2541
MADELAINE PRUITT CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Putnam County (601) 826-2386
COOKEVILLE REGIONAL ANESTHESIA, INC
Anesthesiology
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Putnam County (931) 783-2619
RACHEL MACMILLAN OTR/L
Occupational Therapist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Putnam County (931) 528-2541
JOHN M DICKSON APRN
Nurse Practitioner (Acute Care)
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Putnam County (931) 783-2770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Brock's NPI number?

The NPI number for Mallory Brock is 1104769579. It was assigned to this individual provider in the NPPES registry on April 10, 2026.

Where is Mallory Brock located?

Mallory Brock practices at 1 Medical Center Blvd, Cookeville, TN 38501. The listed phone number is (931) 528-2541.

What is Mallory Brock's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Mallory Brock enrolled in Medicare?

Yes. Mallory Brock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mallory Brock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Brock reassigns Medicare benefits to Encore Rehabilitation, Inc (Decatur, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Brock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Brock accept?

Health plans from Blue Cross and Blue Shield of Alabama list Mallory Brock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Brock was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.