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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: August 02, 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, and ordering and referring status from the CMS PECOS system.

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

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.

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.