BROCK MINOR
NPI 1245968320
Nurse Anesthetist, Certified Registered in Bryan, OH

Q: What is Brock Minor's NPI number?

The NPI number for Brock Minor is 1245968320. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Q: What is Brock Minor's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Brock Minor was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 08, 2022

77.23/100

CMS Quality Rating

433 W HIGH ST, BRYAN, OH 43506(419) 636-1131(419) 636-3100 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2022, Sep 1, 2022, Aug 8, 2022 (3 updates tracked since 2022).

On this page

About Brock Minor NPPES

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

BROCK MINOR (NPI 1245968320) is an individual nurse anesthetist, certified registered in Bryan, Ohio, licensed in Ohio (APRN.CRNA.0020602) and active in the NPI registry since August 2022. He is affiliated with Community Hospitals And Wellness Centers and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245968320

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBROCK MINOR

Location Address433 W HIGH STBryan, OH 43506-1690

Mailing Address433 W High StBryan, OH 43506-1690 · (419) 636-1131 · Fax (419) 636-3100

Phone(419) 636-1131

Fax(419) 636-3100

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 8, 2022

Last NPPES UpdateOctober 3, 20223 updates tracked since enumeration

NPPES CertifiedOctober 3, 2022

✔ NPI 1245968320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in OH · APRN.CRNA.0020602

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN.452752 (OH)

433 W HIGH ST, Bryan, OH 43506

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2365827045

PECOS Enrollment IDI20220915003288

Medicare Billing Reassignment

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

Clinical Colleagues LLC

43 mi

Anesthesiology

1250 S WASHINGTON ST
Van Wert, OH 45891

Reassigned Medicare billing, Ohio enrollment
86 clinicians in this Medicare group

NPI 1992725766 (850) 985-9180

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Hospitals And Wellness Centers

Acute Care Hospitals · Bryan, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360121

Location433 West High StreetBryan, OH 43506 · Williams County

Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.84

Promoting Interoperability

100

Improvement Activities

Cost

47.26

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.

JENNIFER LYNN WITTE SLP

Speech-Language Pathologist

433 W HIGH ST
BRYAN, OH 43506

Williams County (419) 636-1131

DR. EIAD OMRAN MD

Emergency Medicine

433 W HIGH ST
BRYAN, OH 43506

Williams County (419) 824-5063

MS. FATMAH H ALBAAJ MD

Family Medicine

433 W HIGH ST
BRYAN, OH 43506

Williams County (419) 636-1131

BROOKE E MOORE APRN.CNP

Nurse Practitioner

433 W HIGH ST
BRYAN, OH 43506

Williams County (419) 630-2021

CAITLIN NICOLE ARMSTRONG CRNA

Nurse Anesthetist, Certified Registered

433 W HIGH ST
BRYAN, OH 43506

Williams County (419) 636-1131

MR. LARRY MICHAEL PICKETT CRNA

Nurse Anesthetist, Certified Registered

433 W HIGH ST
BRYAN, OH 43506

Williams County (419) 636-1131

DARREN D CHAO M.D.

Radiology (Diagnostic Radiology)

433 W HIGH ST
BRYAN, OH 43506

Williams County (419) 636-1131

DAVID M COOLEY MD

Internal Medicine (Gastroenterology)

433 W HIGH ST
BRYAN, OH 43506

Williams County (419) 630-2021

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 Minor's NPI number?

The NPI number for Brock Minor is 1245968320. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Brock Minor located?

Brock Minor practices at 433 W High St, Bryan, OH 43506. The listed phone number is (419) 636-1131.

What is Brock Minor's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Brock Minor enrolled in Medicare?

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

Which organization bills Medicare for Brock Minor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brock Minor reassigns Medicare benefits to Clinical Colleagues LLC (Van Wert, OH). 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 Brock Minor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brock Minor accept?

Health plans from CareSource list Brock Minor 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.

Is Brock Minor affiliated with any hospitals?

According to CMS data, Brock Minor is affiliated with Community Hospitals And Wellness Centers.

When was this NPI record last updated?

The NPPES record for Brock Minor was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.