BROCK W DUDLEY DC
NPI 1649022427
Chiropractor in Thousand Oaks, CA

Active since April 03, 2024
1011 RANCHO CONEJO BLVD, THOUSAND OAKS, CA 91320(951) 595-2281 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brock W Dudley Dc NPPES

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

BROCK W DUDLEY DC (NPI 1649022427) is an individual chiropractor in Thousand Oaks, California, licensed in California (35222) and active in the NPI registry since April 2024. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1649022427
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBROCK W DUDLEYCredential: DC
Location Address1011 RANCHO CONEJO BLVDThousand Oaks, CA 91320-1718
Mailing Address2857 Las Posas CirSanta Rosa Valley, CA 93012-8211
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1649022427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 35222
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1011 RANCHO CONEJO BLVD, Thousand Oaks, CA 91320

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brock W Dudley Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638633928
PECOS Enrollment IDI20260708001691

Medicare Billing Reassignment

Medicare enrollment records show Brock Dudley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
1011 RANCHO CONEJO BLVD
Thousand Oaks, CA 91320
  • Reassigned Medicare billing, California enrollment
  • 6 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.

Other Providers at the Same Location NPPES 10

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

Physical Therapist
1011 RANCHO CONEJO BLVD
NEWBURY PARK, CA 91320
Physical Therapist (Sports)
1011 RANCHO CONEJO BLVD
THOUSAND OAKS, CA 91320
Physical Therapist
1011 RANCHO CONEJO BLVD
NEWBURY PARK, CA 91320
Physical Therapist
1011 RANCHO CONEJO BLVD
NEWBURY PARK, CA 91320
Clinic/Center (Physical Therapy)
1011 RANCHO CONEJO BLVD
NEWBURY PARK, CA 91320
Family Medicine (Sports Medicine)
1011 RANCHO CONEJO BLVD
THOUSAND OAKS, CA 91320
Chiropractor
1011 RANCHO CONEJO BLVD
THOUSAND OAKS, CA 91320
Chiropractor
1011 RANCHO CONEJO BLVD
THOUSAND OAKS, CA 91320

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 Dudley's NPI number?

The NPI number for Brock Dudley is 1649022427. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Brock Dudley located?

Brock Dudley practices at 1011 Rancho Conejo Blvd, Thousand Oaks, CA 91320. The listed phone number is (951) 595-2281.

What is Brock Dudley's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Brock Dudley enrolled in Medicare?

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

Which organization bills Medicare for Brock Dudley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brock Dudley reassigns Medicare benefits to Bdx Medicare Chiropractic Daniels And Stanislawski P C (Thousand Oaks, CA). The 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 Dudley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brock Dudley accept?

Health plans from Providence Health Plan list Brock Dudley 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 Brock Dudley was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.