CHANCE BROCK
NPI 1689309866
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since July 21, 2022PECOS Enrolled
12631 E 17TH AVE # MS 8200, AURORA, CO 80045(303) 724-9245 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 13, 2025, Jun 17, 2024, Jul 21, 2022 (3 updates tracked since 2022).

About Chance Brock NPPES

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

CHANCE BROCK (NPI 1689309866) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689309866
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHANCE BROCK
Location Address12631 E 17TH AVE # MS 8200Aurora, CO 80045-2527
Mailing AddressMsc10 5550 1 University Of New MexicoAlbuquerque, NM 87131-0001
Sole ProprietorNo
Enumeration DateJuly 21, 2022
Last NPPES UpdateJune 13, 20253 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
NPI 1689309866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
12631 E 17TH AVE # MS 8200, Aurora, CO 80045

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Chance Brock 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 8

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

Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE # MS 8200
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE # MS 8200
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE # MS 8200
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE # MS 8200
AURORA, CO 80045
Radiology (Diagnostic Radiology)
12631 E 17TH AVE # MS 8200
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE # MS 8200
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE # MS 8200
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE # MS 8200
AURORA, CO 80045

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 Chance Brock's NPI number?

The NPI number for Chance Brock is 1689309866. It was assigned to this individual provider in the NPPES registry on July 21, 2022.

Where is Chance Brock located?

Chance Brock practices at 12631 E 17th Ave # Ms 8200, Aurora, CO 80045. The listed phone number is (303) 724-9245.

What is Chance 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 Chance Brock enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Chance Brock was last updated on June 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.