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EVAN BROCK
NPI 1922838093
Nurse Anesthetist, Certified Registered in Florence, AL

Active since August 05, 2024
1701 VETERANS DR, FLORENCE, AL 35630(256) 200-2913 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Evan Brock NPPES

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

EVAN BROCK (NPI 1922838093) is an individual nurse anesthetist, certified registered in Florence, Alabama, licensed in Alabama (1-156034) and active in the NPI registry since August 2024. He is affiliated with Piedmont Columbus Regional Midtown and is a graduate of Other (2024).

NPPES Registry Identity

NPI1922838093
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameEVAN BROCK
Location Address1701 VETERANS DRFlorence, AL 35630-4928
Mailing Address502 W Pasadena AveMuscle Shoals, AL 35661-2142 · (256) 200-2913
Phone(256) 200-2913
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
✔ NPI 1922838093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AL · 1-156034
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1701 VETERANS DR, Florence, AL 35630
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Brock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204368921
PECOS Enrollment IDI20241018000457, I20250411000852

Medicare Billing Reassignments

3

Medicare enrollment records show Evan Brock reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Namc Anesthesia Services LLC
0.3 mi
Nurse Anesthetist, Certified Registered
1701 VETERANS DR
Florence, AL 35630
  • Reassigned Medicare billing, Alabama enrollment
  • 46 clinicians in this Medicare group
NPI 1710551940 (256) 629-1900
Marshall Medical Center South
94 mi
Nurse Anesthetist, Certified Registered
2505 US HIGHWAY 431
Boaz, AL 35957
  • Reassigned Medicare billing, Alabama enrollment
  • 58 clinicians in this Medicare group
NPI 1497269799 (256) 593-8310
Hospitalist Medicine Physicians Of Georgia - Tcs, PC
222 mi
Anesthesiology
710 CENTER ST
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 165 clinicians in this Medicare group
NPI 1033926191 (706) 571-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

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.

CAMERON PATRICK HENDERSON
Nurse Practitioner (Acute Care)
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1000
RITIKA KUMAR
Internal Medicine
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1950
USBAH KHALID
Internal Medicine
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1000
KARLEY ELIZABETH FLORES PA
Physician Assistant
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1000
JAKE MICHAEL CURTIS
Nurse Anesthetist, Certified Registered
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1000
DR. DEMILADE ADEAYO SOJI-AYOADE MD
Student in an Organized Health Care Education/Training Program
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1950
JEROME CHUKWUNONSO OKUDO MD
Student in an Organized Health Care Education/Training Program
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1950
SARAH MAHMOUD ATIA ELSAYED MD
Internal Medicine
1701 VETERANS DR
FLORENCE, AL 35630
Lauderdale County (256) 629-1950

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 Evan Brock's NPI number?

The NPI number for Evan Brock is 1922838093. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Evan Brock located?

Evan Brock practices at 1701 Veterans Dr, Florence, AL 35630. The listed phone number is (256) 200-2913.

What is Evan Brock's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Evan Brock enrolled in Medicare?

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

Which organizations bill Medicare for Evan Brock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Brock reassigns Medicare benefits to 3 organizations: Namc Anesthesia Services LLC (Florence, AL), Marshall Medical Center South (Boaz, AL) and Hospitalist Medicine Physicians Of Georgia - Tcs, PC (Columbus, GA). 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 Evan Brock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Brock accept?

Health plans from Blue Cross and Blue Shield of Alabama list Evan 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 Evan Brock affiliated with any hospitals?

According to CMS data, Evan Brock is affiliated with Piedmont Columbus Regional Midtown.

When was this NPI record last updated?

The NPPES record for Evan Brock was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.