William Bradford Brock, MD is a medicare enrolled "Surgery" physician in Mc Minnville, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Privia Medical Group Tennessee Llc and his current practice location is
1589 Sparta St, Suite 105, Mc Minnville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 815-3636.
William Bradford Brock is licensed to practice in Tennessee (license number MD20114) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023195807.
Physician's Profile
| Full Name | William Bradford Brock |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 36 Years |
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| Location | 1589 Sparta St, Mc Minnville, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- William Bradford Brock attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1988
NPI Data:
- NPI Number: 1023195807
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 03/14/2019
Medicare PECOS Information:
- PECOS PAC ID: 2163546151
- Enrollment ID: I20100827000165
Medical Identifiers
Medical identifiers for William Bradford Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023195807 | NPI | - | NPPES |
| 193161 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3050246 | Medicaid | TN | |
| 6215739330002 | Other | TN | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | MD20114 (Tennessee) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. William Bradford Brock allows following entities to bill medicare on his behalf.
| Entity Name | Privia Medical Group Tennessee Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376110858
PECOS PAC ID: 0547667552
Enrollment ID: O20210917001131 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. William Bradford Brock is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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William Bradford Brock, MD
1589 Sparta St, Suite 105,
Mc Minnville, TN 37110-1390
Ph: (931) 815-3636 | William Bradford Brock, MD
1589 Sparta St, Suite 105,
Mc Minnville, TN 37110-1390
Ph: (931) 815-3636 |
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