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DALE WAYNE BROCK APN
NPI 1922055292
Nurse Practitioner in Liberty, TX

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
2718A N MAIN ST, LIBERTY, TX 77575(936) 336-3616 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dale Wayne Brock Apn NPPES

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

DALE WAYNE BROCK APN (NPI 1922055292) is an individual nurse practitioner in Liberty, Texas, licensed in Texas (603165) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Bayside Community Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1922055292
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDALE WAYNE BROCKCredential: APN
Location Address2718A N MAIN STLiberty, TX 77575-3909
Mailing Address2718a N Main StLiberty, TX 77575-3909 · (936) 336-3616
Phone(936) 336-3616
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateMay 30, 2006
Last NPPES UpdateJuly 15, 2008
✔ NPI 1922055292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 603165
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 603165 (TX)
2718A N MAIN ST, Liberty, TX 77575
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Other Identifiers 2

Medicare UPINP41475TX
Medicare PIN8F2993TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice.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

Dale Wayne Brock Apn 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 ID2860390614
PECOS Enrollment IDI20031230000720
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bayside Community Hospital

Critical Access Hospitals · Anahuac, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451320
Location200 Hospital DriveAnahuac, TX 77514 · Chambers County
Emergency services

Riceland Medical Center

Critical Access Hospitals · Winnie, TX
OwnershipProprietary
CMS Certification Number451328
Location538 BroadwayWinnie, TX 77665 · Chambers County
Emergency services

Liberty Dayton Regional Medical Center

Critical Access Hospitals · Liberty, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451375
Location1353 N Travis StLiberty, TX 77575 · Liberty County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77575 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers12 claims12 services$52.18 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$27.97 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers35 claims35 services$80.61 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier23 claims23 services$29.40 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
1 supplier32 claims640 services$6.19 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$183.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

VIRGINIA R DRAKE RVT, RT, LVN
Radiologic Technologist (Sonography)
2718A N MAIN ST
LIBERTY, TX 77575
Liberty County (936) 336-3616
QUALITY CARE PLUS, LLC
Clinic/Center (Urgent Care)
2718A N MAIN ST
LIBERTY, TX 77575
Liberty County (936) 336-3616
SONOGRAPHIC IMAGING SERVICES
Radiologic Technologist (Sonography)
2718A N MAIN ST
LIBERTY, TX 77575
Liberty County (936) 336-3616
UGHS BAYTOWN PHYSICIAN SERVICES INC.
Clinic/Center (Urgent Care)
2718A N MAIN ST
LIBERTY, TX 77575
Liberty County (936) 336-3616

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 Dale Brock's NPI number?

The NPI number for Dale Brock is 1922055292. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Dale Brock located?

Dale Brock practices at 2718A N Main St, Liberty, TX 77575. The listed phone number is (936) 336-3616.

What is Dale Brock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dale Brock enrolled in Medicare?

Yes. Dale Brock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dale Brock accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Dale Brock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dale Brock affiliated with any hospitals?

According to CMS data, Dale Brock is affiliated with Bayside Community Hospital, Riceland Medical Center and Liberty Dayton Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Dale Brock was last updated on July 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.