BENJAMIN BROCK (PA) – Physician Assistant, NPI 1083150940

BENJAMIN BROCK (PA) is a healthcare provider. based in Mobile, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1196 (AL). The NPI Number for BENJAMIN BROCK (PA) is 1083150940

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN BROCK (PA)
NPI
1083150940
Phone
(251) 435-1366
Address
1725 SPRING HILL AVE
Enumeration Date
16 January 2017
Last Update Date
16 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2514357289
Graduation Year
2016 (10 years ago)
PAC ID
6204113996
Group Practice PAC ID
2264727155
Professional Enrollment ID
I20170505001735
Address ID
AL366073513MO5XXXXCIRX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,201 PHYSICIAN ASSISTANT in AL

Provider Addresses for BENJAMIN BROCK (PA)

  • 1725 SPRING HILL AVE

    MOBILE, AL 366041402

    Phone: (251) 435-1366

    Fax: (251) 435-1616

    Type: Mailing

  • 5 MOBILE INFIRMARY CIR

    MOBILE, AL 366073513

    Phone: (251) 435-7289

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $168.

Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.

Last reported payment date: 2023-02-09 • Largest payer in this snapshot: Silk Road Medical, Inc. ($168).

Total Amount

$168

General + Research + Ownership

Payments

1

Total payment records

General Amount

$168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Silk Road Medical, Inc.$168
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170505001735IPhysician AssistantALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes129124$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3232$0
View full utilization report →

Insurance plans in this area (ZIP 36604)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264727155View full group profile
NameSpecialtyState
Internal MedicineAL
Internal MedicineAL
-AL
Geriatric Medicine, Internal MedicineLA
Internal MedicineAL
Internal MedicineAL
Internal MedicineAL
Nurse PractitionerAL
Family PracticeMS
Nurse PractitionerAL

Reviews

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Frequently asked questions

Is there an official ID for BENJAMIN BROCK (PA) in U.S. healthcare records?
The official identifier for BENJAMIN BROCK (PA) is NPI 1083150940.
Is BENJAMIN BROCK (PA) shown as active in public data?
Registry records indicate BENJAMIN BROCK (PA) maintains an active NPI.
What clinical focus is listed for BENJAMIN BROCK (PA)?
At a glance, BENJAMIN BROCK (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Alabama is BENJAMIN BROCK (PA) registered?
Use Mobile, Alabama as the headline location for BENJAMIN BROCK (PA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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