| Brandon Raymond Brock, CRNA | |
|
1011 Brazos Dr, Southlake, TX 76092-6027 | |
| (225) 610-2051 | |
| Not Available |
| Full Name | Brandon Raymond Brock |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1011 Brazos Dr, Southlake, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225209240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 094793 (Louisiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP123128 (Texas) | Primary |
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Entity Name | Anesthesiology Consultants Of North Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699712596 PECOS PAC ID: 3870483001 Enrollment ID: O20040319000247 |
| Entity Name | Spine Team Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629082995 PECOS PAC ID: 6507888757 Enrollment ID: O20051230000616 |
| Entity Name | Premier Interventional Pain Management Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134453129 PECOS PAC ID: 7012043961 Enrollment ID: O20100330000663 |
| Entity Name | Valiant Anesthesia Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588906812 PECOS PAC ID: 5092956243 Enrollment ID: O20130730000861 |
| Entity Name | Seena Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740676105 PECOS PAC ID: 1153642848 Enrollment ID: O20150605002698 |
| Entity Name | Champion Anesthesia Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649676024 PECOS PAC ID: 7113231358 Enrollment ID: O20150803000277 |
| Entity Name | Vertex Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487106175 PECOS PAC ID: 1052692324 Enrollment ID: O20161228000298 |
| Entity Name | Texas Anesthesia Partners, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144673468 PECOS PAC ID: 3870879828 Enrollment ID: O20170406000406 |
| Entity Name | Eagle Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891151478 PECOS PAC ID: 5092083998 Enrollment ID: O20170619000733 |
| Entity Name | Marc Daniel Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497263750 PECOS PAC ID: 1052672086 Enrollment ID: O20180307001922 |
| Entity Name | Sp Pain Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679078075 PECOS PAC ID: 8022360437 Enrollment ID: O20181012002465 |
| Entity Name | Rpm Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669022786 PECOS PAC ID: 6901238443 Enrollment ID: O20191121000648 |
| Entity Name | Synapse Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710652789 PECOS PAC ID: 6507262607 Enrollment ID: O20210914002755 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Raymond Brock, CRNA 1011 Brazos Dr, Southlake, TX 76092-6027 Ph: (225) 610-2051 | Brandon Raymond Brock, CRNA 1011 Brazos Dr, Southlake, TX 76092-6027 Ph: (225) 610-2051 |
Ms. Malia Linda Stephenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2813 W Southlake Blvd Ste 130, Southlake, TX 76092 Phone: 580-771-2011 Fax: 877-292-3457 | |
Steven Michael Appelhof, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kimball Ave Ste 110, Southlake, TX 76092 Phone: 817-251-7995 Fax: 817-398-0016 | |
Pablo R Albores, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 S Nolen Dr, Suite 140, Southlake, TX 76092 Phone: 817-488-0410 Fax: 817-488-0422 |