JACOB ALLEN BROCK MD
NPI 1861133936
Student in an Organized Health Care Education/Training Program in Akron, OH

Q: What is Jacob Brock's NPI number?

The NPI number for Jacob Brock is 1861133936. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Jacob 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 Jacob Brock was last updated on April 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment

1 AKRON GENERAL AVE, AKRON, OH 44307(330) 344-6000 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Jacob Allen Brock Md NPPES

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

JACOB ALLEN BROCK MD (NPI 1861133936) is an individual student in an organized health care education/training program in Akron, Ohio and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1861133936

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACOB ALLEN BROCKCredential: MD

Location Address1 AKRON GENERAL AVEAkron, OH 44307-2432

Mailing Address1 Akron General AveAkron, OH 44307-2432

Phone(330) 344-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 5, 2022

NPPES CertifiedApril 4, 2022

✔ NPI 1861133936 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.

1 AKRON GENERAL AVE, Akron, OH 44307

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, SummaCare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Allen Brock Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406225432

PECOS Enrollment IDI20240715003072

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.

DR. MELANIE L BOROS PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)