DR. BROCK STEPHEN CLARK DO
NPI 1336600170
Emergency Medicine in Charlotte, NC
About Dr. Brock Stephen Clark Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BROCK STEPHEN CLARK DO (NPI 1336600170) is an individual emergency medicine provider in Charlotte, North Carolina, licensed in North Carolina (2022-01455) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Brock Stephen Clark Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Brock Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlotte, NC 28210
- Reassigned Medicare billing, North Carolina enrollment
- 230 clinicians in this Medicare group
Mount Holly, NC 28120
- Reassigned Medicare billing, North Carolina enrollment
- 200 clinicians in this Medicare group
Albemarle, NC 28001
- Reassigned Medicare billing, North Carolina enrollment
- 144 clinicians in this Medicare group
Dunn, NC 28334
- Reassigned Medicare billing, North Carolina enrollment
- 373 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Caromont Regional Medical Center
Acute Care Hospitals · Gastonia, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Clark's NPI number?
The NPI number for Brock Clark is 1336600170. It was assigned to this individual provider in the NPPES registry on March 26, 2019.
Where is Brock Clark located?
Brock Clark practices at 2001 Vail Ave, Charlotte, NC 28207. The listed phone number is (704) 304-5000.
What is Brock Clark's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Brock Clark enrolled in Medicare?
Yes. Brock Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Brock Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brock Clark reassigns Medicare benefits to 4 organizations: Emergency Medicine Physicians Of Mecklenburg County, PLLC (Charlotte, NC), Gastonia Physician Services, PLLC (Mount Holly, NC), Western Carolina Emergency Physicians, PLLC (Albemarle, NC) and The Carolinas Emergency Group, PLLC (Dunn, NC). 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 Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brock Clark accept?
Health plans from Cigna Healthcare list Brock Clark 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 Clark affiliated with any hospitals?
According to CMS data, Brock Clark is affiliated with Caromont Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Brock Clark was last updated on September 28, 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.
# Dr. Brock Stephen Clark, DO · NPI 1336600170
Emergency Medicine physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since March 26, 2019.
## Identity
- **NPI:** 1336600170 (Entity type: Individual)
- **Enumerated:** March 26, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 2022-01455 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 VAIL AVE, Charlotte, NC 28207-1248
- **Phone:** (704) 304-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Physicians Of Mecklenburg County, PLLC (NPI 1912232182, Charlotte, NC); Gastonia Physician Services, PLLC (NPI 1023416708, Mount Holly, NC); Western Carolina Emergency Physicians, PLLC (NPI 1134391758, Albemarle, NC); The Carolinas Emergency Group, PLLC (NPI 1477508836, Dunn, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336600170) · Data from the CMS NPPES public registry.