KATHARINE ELIZABETH BROCK M.D., M.S.
NPI 1962644476
Pediatrics - Pediatric Hematology-Oncology in Atlanta, GA

Q: What is Katharine Brock's NPI number?

The NPI number for Katharine Brock is 1962644476. It was assigned to this individual provider in the NPPES registry on March 30, 2009.

Q: What is Katharine Brock's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Katharine Brock was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 30, 2009PECOS Enrolled

1405 CLIFTON RD NE, BRUMLEY BRIDGE AFLAC SUITE, HSRB W-340B, ATLANTA, GA 30322(404) 785-4741(404) 727-4455 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Katharine Elizabeth Brock M.d., M.s. NPPES

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

KATHARINE ELIZABETH BROCK M.D., M.S. (NPI 1962644476) is an individual pediatric hematology-oncology provider in Atlanta, Georgia, licensed in Georgia (76309) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962644476

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameKATHARINE ELIZABETH BROCKCredential: M.D., M.S.

Location Address1405 CLIFTON RD NE, BRUMLEY BRIDGE AFLAC SUITE, HSRB W-340BAtlanta, GA 30322-4532

Mailing Address1405 Clifton Rd Ne, Brumley Bridge Aflac Suite, Hsrb W-340bAtlanta, GA 30322-4532 · (404) 785-4741 · Fax (404) 727-4455

Phone(404) 785-4741

Fax(404) 727-4455

Sole ProprietorYes

Enumeration DateMarch 30, 2009

Last NPPES UpdateNovember 3, 2016

✔ NPI 1962644476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in GA · 76309

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatrics · Hospice and Palliative MedicineTaxonomy 2080H0002X · License 76309 (GA)

1405 CLIFTON RD NE, Atlanta, GA 30322

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katharine Elizabeth Brock M.d., M.s. 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.

CARRIE NG MD

Pediatrics (Pediatric Emergency Medicine)