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BROCK JOHN MALATCHES MD
NPI 1265164651
Student in an Organized Health Care Education/Training Program in Warren, MI

Active since June 26, 2022PECOS Enrolled
27472 SCHOENHERR RD STE 100, WARREN, MI 48088(586) 751-8844(586) 751-8596 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brock John Malatches Md NPPES

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

BROCK JOHN MALATCHES MD (NPI 1265164651) is an individual student in an organized health care education/training program in Warren, Michigan, licensed in Michigan (4351049719) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265164651
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBROCK JOHN MALATCHESCredential: MD
Location Address27472 SCHOENHERR RD STE 100Warren, MI 48088-6675
Mailing Address27472 Schoenherr Rd Ste 100Warren, MI 48088-6675 · (586) 751-8844 · Fax (586) 751-8596
Phone(586) 751-8844
Fax(586) 751-8596
Sole ProprietorYes
Enumeration DateJune 26, 2022
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1265164651 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
License✔ Licensed in MI · 4351049719
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.
27472 SCHOENHERR RD STE 100, Warren, MI 48088
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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 John Malatches Md 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 18

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

LARRY B TANKANOW MD
Internal Medicine (Pulmonary Disease)
27472 SCHOENHERR RD STE 100
WARREN, MI 48088
Macomb County (586) 751-8844
RAMI HAITHAM AL-HANDOLA MD
Student in an Organized Health Care Education/Training Program
27472 SCHOENHERR RD STE 100
WARREN, MI 48088
Macomb County (586) 751-8844
KATARINA VULAJ FNP
Nurse Practitioner (Family)
27472 SCHOENHERR RD STE 100
WARREN, MI 48088
Macomb County (586) 751-8844
KATHERINE ALBISHARA MD
Internal Medicine
27472 SCHOENHERR RD STE 100
WARREN, MI 48088
Macomb County (586) 751-8844
DR. SEAN MICHAEL DAWES DO MPH
Internal Medicine (Critical Care Medicine)
27472 SCHOENHERR RD STE 100
WARREN, MI 48088
Macomb County (586) 751-8844
DR. TERRENCE PATRICK BRENNAN M.D.
Internal Medicine
27472 SCHOENHERR RD STE 100
WARREN, MI 48088
Macomb County (586) 751-8844
DONOVAN M OGBOH DO
Family Medicine
27472 SCHOENHERR RD STE 100
WARREN, MI 48088
Macomb County (586) 751-8844
PULMONARY AND MEDICINE ASSOCIATES
Internal Medicine (Pulmonary Disease)
27472 SCHOENHERR RD STE 100
WARREN, MI 48088
Macomb County (586) 751-8844

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 Malatches's NPI number?

The NPI number for Brock Malatches is 1265164651. It was assigned to this individual provider in the NPPES registry on June 26, 2022.

Where is Brock Malatches located?

Brock Malatches practices at 27472 Schoenherr Rd Ste 100, Warren, MI 48088. The listed phone number is (586) 751-8844.

What is Brock Malatches'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 Malatches enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brock Malatches was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.