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BETHANY AI BROCK
NPI 1790623072
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since March 24, 2026PECOS Enrolled
1959 NE PACIFIC STREET BOX 356410, SEATTLE, WA 98195(206) 598-3300 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethany Ai Brock NPPES

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

BETHANY AI BROCK (NPI 1790623072) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790623072
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBETHANY AI BROCK
Location Address1959 NE PACIFIC STREET BOX 356410Seattle, WA 98195-0001
Mailing Address1959 Ne Pacific Street Box 356410Seattle, WA 98195-0001
Phone(206) 598-3300
Sole ProprietorNo
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1790623072 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.
1959 NE PACIFIC STREET BOX 356410, Seattle, WA 98195
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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)

Bethany Ai 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 3

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

VADIM VLADIMIROVICH CHESNOKOV
Surgery
1959 NE PACIFIC STREET BOX 356410
SEATTLE, WA 98195
King County (206) 543-3687
DANIEL MEHRABIAN MD
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC STREET BOX 356410
SEATTLE, WA 98195
King County (206) 543-3654
JULIA PERSKY MD
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC STREET BOX 356410
SEATTLE, WA 98195
King County (206) 598-3300

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 Bethany Brock's NPI number?

The NPI number for Bethany Brock is 1790623072. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Where is Bethany Brock located?

Bethany Brock practices at 1959 NE Pacific Street Box 356410, Seattle, WA 98195. The listed phone number is (206) 598-3300.

What is Bethany 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 Bethany Brock enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bethany Brock was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.