DR. JEREMY DUSTIN BROCK DMD
NPI 1386392629
Dentist - General Practice in Southern Pines, NC

Q: What is Jeremy Brock's NPI number?

The NPI number for Jeremy Brock is 1386392629. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Q: What is Jeremy Brock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Brock was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 15, 2022PECOS Enrolled

10868 US HIGHWAY 15 501, SOUTHERN PINES, NC 28387(910) 585-0262 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jeremy Dustin Brock Dmd NPPES

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

DR. JEREMY DUSTIN BROCK DMD (NPI 1386392629) is an individual general practice provider in Southern Pines, North Carolina, licensed in North Carolina (12842) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386392629

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JEREMY DUSTIN BROCKCredential: DMD

Location Address10868 US HIGHWAY 15 501Southern Pines, NC 28387-5149

Mailing Address10868 Us 15 501 HwySouthern Pines, NC 28387-5149

Phone(910) 585-0262

Sole ProprietorYes

Enumeration DateMarch 15, 2022

Last NPPES UpdateMay 25, 2023

NPPES CertifiedMay 25, 2023

✔ NPI 1386392629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 12842

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 12842 (NC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10868 US HIGHWAY 15 501, Southern Pines, NC 28387

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremy Dustin Brock Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28387 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

ASSMA SYED AHAMED

Dentist (General Practice)

10868 US HIGHWAY 15 501
SOUTHERN PINES, NC 28387

Moore County (415) 502-5800

MRS. MAMATA HOOGAR DMD

Dentist (General Practice)

10868 US HIGHWAY 15 501
SOUTHERN PINES, NC 28387

Moore County (910) 992-3089

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 Jeremy Brock's NPI number?

The NPI number for Jeremy Brock is 1386392629. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Where is Jeremy Brock located?

Jeremy Brock practices at 10868 Us Highway 15 501, Southern Pines, NC 28387. The listed phone number is (910) 585-0262.

What is Jeremy Brock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jeremy Brock enrolled in Medicare?

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

What insurance does Jeremy Brock accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BEST Life and 16 other insurers list Jeremy Brock 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.

When was this NPI record last updated?

The NPPES record for Jeremy Brock was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.