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BROCK ROBERT EMANUEL DO
NPI 1649072984
Student in an Organized Health Care Education/Training Program in Overland Park, KS

Active since March 26, 2025PECOS Enrolled
12200 W 106TH ST STE 325, OVERLAND PARK, KS 66215(913) 541-6022 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brock Robert Emanuel Do NPPES

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

BROCK ROBERT EMANUEL DO (NPI 1649072984) is an individual student in an organized health care education/training program in Overland Park, Kansas and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649072984
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBROCK ROBERT EMANUELCredential: DO
Location Address12200 W 106TH ST STE 325Overland Park, KS 66215-2381
Mailing Address12200 W 106th St Ste 325Overland Park, KS 66215-2381 · (913) 541-6022
Phone(913) 541-6022
Sole ProprietorNo
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1649072984 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.
12200 W 106TH ST STE 325, Overland Park, KS 66215
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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)

Brock Robert Emanuel Do 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 17

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

JOSHUA HAN SUNG PAK DO
Internal Medicine
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (913) 498-7004
SPENCER AUSTIN HALL MD
Student in an Organized Health Care Education/Training Program
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (913) 498-7004
MALLORY JEAN LANIER LEHR MD
Student in an Organized Health Care Education/Training Program
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (913) 541-6072
DANIYA MOZAFFAR
Student in an Organized Health Care Education/Training Program
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (816) 482-6810
DENNIS NGUYEN
Student in an Organized Health Care Education/Training Program
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (913) 498-7004
PATRICIA PEMBERTON LARAMORE DO
Student in an Organized Health Care Education/Training Program
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (913) 498-7004
CODY MOORE
Student in an Organized Health Care Education/Training Program
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (913) 498-7004
COURTNEY K DELONG
Student in an Organized Health Care Education/Training Program
12200 W 106TH ST STE 325
OVERLAND PARK, KS 66215
Johnson County (913) 541-6072

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 Emanuel's NPI number?

The NPI number for Brock Emanuel is 1649072984. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Brock Emanuel located?

Brock Emanuel practices at 12200 W 106th St Ste 325, Overland Park, KS 66215. The listed phone number is (913) 541-6022.

What is Brock Emanuel's specialty?

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

Is Brock Emanuel enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brock Emanuel was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.