DR. LEE J BROCK M.D.
NPI 1912008871
Pediatrics - Neonatal-Perinatal Medicine in Tripler Amc, HI
About Dr. Lee J Brock M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LEE J BROCK M.D. (NPI 1912008871) is an individual neonatal-perinatal medicine provider in Tripler Amc, Hawaii, licensed in California (A90803) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Lee J Brock M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lee Brock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Modesto, CA 95350
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Valley Childrens Medical Group
- 387 clinicians in this Medicare group
Glendale, CA 91206
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
TRIPLER ARMY MEDICAL CENTER, HI 96859
TRIPLER ARMY MEDICAL CENTER, HI 96859
TRIPLER AMC, HI 96859
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 Lee Brock's NPI number?
The NPI number for Lee Brock is 1912008871. It was assigned to this individual provider in the NPPES registry on September 25, 2006.
Where is Lee Brock located?
Lee Brock practices at 1 Jarrett White Rd, Tripler Amc, HI 96859. The listed phone number is (808) 433-5723.
What is Lee Brock's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.
Is Lee Brock enrolled in Medicare?
Yes. Lee Brock is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lee Brock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lee Brock reassigns Medicare benefits to 2 organizations: Valley Children's Medical Group (Modesto, CA) and Faculty Physicians And Surgeons Of Llusm (Glendale, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lee Brock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lee Brock was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Lee J Brock, M.D. · NPI 1912008871
Neonatal-Perinatal Medicine physician in Tripler Amc, Hawaii. Individual provider, active in the CMS NPPES registry since September 25, 2006.
## Identity
- **NPI:** 1912008871 (Entity type: Individual)
- **Enumerated:** September 25, 2006
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** A90803 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 JARRETT WHITE RD, Tripler Amc, HI 96859-5001
- **Phone:** (808) 433-5723
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Valley Children's Medical Group (NPI 1437555265, Modesto, CA); Faculty Physicians And Surgeons Of Llusm (NPI 1508255175, Glendale, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1912008871) · Data from the CMS NPPES public registry.