MR. MARTY DEWAYNE BROCK M.A., CCAADC
NPI 1427485036
Counselor - Pastoral in Bainbridge, GA

Active since September 27, 2013
214 PROSPERITY CHURCH RD, BAINBRIDGE, GA 39817(229) 220-2275 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Marty Dewayne Brock M.a., Ccaadc NPPES

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

MR. MARTY DEWAYNE BROCK M.A., CCAADC (NPI 1427485036) is an individual pastoral provider in Bainbridge, Georgia, licensed in Georgia (10114352) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1427485036
Entity TypeIndividualMale
Primary Taxonomy101YP1600X
Provider Legal NameMR. MARTY DEWAYNE BROCKCredential: M.A., CCAADC
Location Address214 PROSPERITY CHURCH RDBainbridge, GA 39817-8278
Mailing Address214 Prosperity Church RdBainbridge, GA 39817-8278 · (229) 220-2275
Sole ProprietorYes
Enumeration DateSeptember 27, 2013
NPI 1427485036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
License Licensed in GA · 10114352
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C0115 (GA)
214 PROSPERITY CHURCH RD, Bainbridge, GA 39817

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 Marty Brock's NPI number?

The NPI number for Marty Brock is 1427485036. It was assigned to this individual provider in the NPPES registry on September 27, 2013.

Where is Marty Brock located?

Marty Brock practices at 214 Prosperity Church Rd, Bainbridge, GA 39817. The listed phone number is (229) 220-2275.

What is Marty Brock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Marty Brock was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.