MARISSA BROCK
NPI 1851093058
Student in an Organized Health Care Education/Training Program in Charleston, SC

Q: What is Marissa Brock's NPI number?

The NPI number for Marissa Brock is 1851093058. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Marissa Brock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marissa Brock was last updated on March 20, 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.

Active since March 20, 2023PECOS Enrolled

171 ASHLEY AVE, CHARLESTON, SC 29425(708) 420-3362 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marissa Brock NPPES

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

MARISSA BROCK (NPI 1851093058) is an individual student in an organized health care education/training program in Charleston, South Carolina and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851093058

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARISSA BROCK

Location Address171 ASHLEY AVECharleston, SC 29425-8908

Mailing Address42 Carolina St Apt BCharleston, SC 29403-2624

Phone(708) 420-3362

Sole ProprietorNo

Enumeration DateMarch 20, 2023

NPPES CertifiedMarch 20, 2023

✔ NPI 1851093058 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.

171 ASHLEY AVE, Charleston, SC 29425

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mountain Health CO-OP.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa 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 20

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

CAROLYN REED WORD M.D.

Allergy & Immunology