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BROCK GLEAVE ENGLESTEAD DO
NPI 1124878749
Student in an Organized Health Care Education/Training Program in Grand Junction, CO

Active since March 26, 2024PECOS Enrolled
2698 PATTERSON RD, GRAND JUNCTION, CO 81506(435) 592-3914 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brock Gleave Englestead Do NPPES

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

BROCK GLEAVE ENGLESTEAD DO (NPI 1124878749) is an individual student in an organized health care education/training program in Grand Junction, Colorado and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124878749
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBROCK GLEAVE ENGLESTEADCredential: DO
Location Address2698 PATTERSON RDGrand Junction, CO 81506-8818
Mailing Address2698 Patterson Rd Ste 100Grand Junction, CO 81506-8211
Phone(435) 592-3914
Sole ProprietorNo
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1124878749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2698 PATTERSON RD, Grand Junction, CO 81506
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brock Gleave Englestead Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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. MITCHELL LEE DARNELL MD
Student in an Organized Health Care Education/Training Program
2698 PATTERSON RD
GRAND JUNCTION, CO 81506
Mesa County (970) 298-2800
ALLIE GRACE TRUDEL MD
Student in an Organized Health Care Education/Training Program
2698 PATTERSON RD
GRAND JUNCTION, CO 81506
Mesa County (970) 298-2195
KENNETH WASHBURN MD
Physical Medicine & Rehabilitation
2698 PATTERSON RD
GRAND JUNCTION, CO 81506
Mesa County (970) 244-2273
KATHERINE GARNETT M.D.
Emergency Medicine
2698 PATTERSON RD
GRAND JUNCTION, CO 81506
Mesa County (970) 298-2800
BROOKE TERKOVICH
Student in an Organized Health Care Education/Training Program
2698 PATTERSON RD
GRAND JUNCTION, CO 81506
Mesa County (970) 298-2800
MR. STEPHEN WHITEFIELD MITCHELL MDIV, MA, LPC, PLMFT
Counselor (Professional)
2698 PATTERSON RD
GRAND JUNCTION, CO 81506
Mesa County (970) 298-7522
TIFFANY CHALOUX M.D.
Family Medicine
2698 PATTERSON RD
GRAND JUNCTION, CO 81506
Mesa County (970) 298-2800
CANDY R CROMELL N.P.C.
Nurse Practitioner
2698 PATTERSON RD
GRAND JUNCTION, CO 81506
Mesa County (970) 298-2800

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 Brock Englestead's NPI number?

The NPI number for Brock Englestead is 1124878749. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Brock Englestead located?

Brock Englestead practices at 2698 Patterson Rd, Grand Junction, CO 81506. The listed phone number is (435) 592-3914.

What is Brock Englestead's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brock Englestead enrolled in Medicare?

Yes. Brock Englestead is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brock Englestead was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.