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HARRISON BROCK MD
NPI 1508561234
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since April 03, 2023PECOS Enrolled
1215 LEE ST # 801210, CHARLOTTESVILLE, VA 22908(434) 924-2241(434) 924-8496 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Harrison Brock Md NPPES

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

HARRISON BROCK MD (NPI 1508561234) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508561234
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHARRISON BROCKCredential: MD
Location Address1215 LEE ST # 801210Charlottesville, VA 22908-0816
Mailing Address1215 Lee St # 801210Charlottesville, VA 22908-0816 · (434) 924-2241 · Fax (434) 924-8496
Phone(434) 924-2241
Fax(434) 924-8496
Sole ProprietorNo
Enumeration DateApril 3, 2023
NPPES CertifiedApril 3, 2023
✔ NPI 1508561234 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
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.
1215 LEE ST # 801210, Charlottesville, VA 22908
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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)

Harrison Brock 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 7

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

KATHRYN GLAYAT MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST # 801210
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2241
BARINAEPKEE BANUNA MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST # 801210
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5314
ANAND SARIPALLI MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST # 801210
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2241
ANTONIO PEDRO MENEZES
Student in an Organized Health Care Education/Training Program
1215 LEE ST # 801210
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2241
AMIR JABR MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST # 801210
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2241
DR. ALEXANDER DAVID WERMELING MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST # 801210
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2241
SARAH COUSINS MD
Psychiatry & Neurology (Psychiatry)
1215 LEE ST # 801210
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5314

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 Harrison Brock's NPI number?

The NPI number for Harrison Brock is 1508561234. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Harrison Brock located?

Harrison Brock practices at 1215 Lee St # 801210, Charlottesville, VA 22908. The listed phone number is (434) 924-2241.

What is Harrison Brock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Harrison Brock enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Harrison Brock was last updated on April 3, 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.