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MR. BROCK CLEMENTS DC
NPI 1154166973
Chiropractor in Redondo Beach, CA

Active since June 25, 2024
1300 S PACIFIC COAST HWY STE 201, REDONDO BEACH, CA 90277(310) 543-7779 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Brock Clements Dc NPPES

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

MR. BROCK CLEMENTS DC (NPI 1154166973) is an individual chiropractor in Redondo Beach, California, licensed in California (DC37016) and active in the NPI registry since June 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1154166973
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. BROCK CLEMENTSCredential: DC
Location Address1300 S PACIFIC COAST HWY STE 201Redondo Beach, CA 90277-5003
Mailing Address1231 Cabrillo Ave Ste 203Torrance, CA 90501-2867 · (310) 543-7779 · Fax (844) 314-9911
Phone(310) 543-7779
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1154166973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC37016
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1300 S PACIFIC COAST HWY STE 201, Redondo Beach, CA 90277
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Brock Clements Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820589229
PECOS Enrollment IDI20251113002210

Medicare Billing Reassignments

2

Medicare enrollment records show Brock Clements reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Goodlife Physical Medicine Corp
Same address
General Practice
1300 S PACIFIC COAST HWY STE 201
Redondo Beach, CA 90277
  • Reassigned Medicare billing, California enrollment
  • 12 clinicians in this Medicare group
NPI 1891152781 (310) 543-7779
Brock Paul Chiropractic PC
32 mi
Chiropractor
555 PARKCENTER DR STE 102
Santa Ana, CA 92705
  • Reassigned Medicare billing, California enrollment
NPI 1033922810 (714) 852-3003

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 5

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

DANE R WIMMER MD
Chiropractor
1300 S PACIFIC COAST HWY STE 201
REDONDO BEACH, CA 90277
Los Angeles County (310) 543-7779
VAUGHN RUARK VILLENA CHUA-UY PT, DPT
Physical Therapist
1300 S PACIFIC COAST HWY STE 201
REDONDO BEACH, CA 90277
Los Angeles County (310) 543-7779
GOODLIFE PAIN CENTER LLC
General Practice
1300 S PACIFIC COAST HWY STE 201
REDONDO BEACH, CA 90277
Los Angeles County (310) 543-7779
AMANDA STANUSZEK D.C.
Chiropractor
1300 S PACIFIC COAST HWY STE 201
REDONDO BEACH, CA 90277
Los Angeles County (310) 543-7779
GOODLIFE PHYSICAL MEDICINE CORP
General Practice
1300 S PACIFIC COAST HWY STE 201
REDONDO BEACH, CA 90277
Los Angeles County (310) 543-7779

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 Clements's NPI number?

The NPI number for Brock Clements is 1154166973. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Brock Clements located?

Brock Clements practices at 1300 S Pacific Coast Hwy Ste 201, Redondo Beach, CA 90277. The listed phone number is (310) 543-7779.

What is Brock Clements's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Brock Clements enrolled in Medicare?

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

Which organizations bill Medicare for Brock Clements's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brock Clements reassigns Medicare benefits to 2 organizations: Goodlife Physical Medicine Corp (Redondo Beach, CA) and Brock Paul Chiropractic PC (Santa Ana, CA). Each 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 Brock Clements's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brock Clements was last updated on June 25, 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.