ROBERT C BROCK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1679533301

ROBERT C BROCK (CRNA) is a healthcare provider. based in Springdale, Arkansas. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. COO156 (AR). The NPI Number for ROBERT C BROCK (CRNA) is 1679533301

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT C BROCK (CRNA)
NPI
1679533301
Phone
(479) 751-3722
Address
601 W MAPLE AVE STE 503
Enumeration Date
25 March 2006
Last Update Date
23 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4797513722
Graduation Year
1973 (53 years ago)
PAC ID
5698792851
Group Practice PAC ID
1951375492
Professional Enrollment ID
I20060104000042
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ROBERT C BROCK (CRNA)

  • 503, West Maple Avenue, Springdale, Washington County, Arkansas, 72764, United States

    SPRINGDALE, AR 727645376

    Phone: (479) 751-3722

    Fax: (479) 751-1099

    Type: Mailing

  • Northwest Medical Center, 609, West Maple Avenue, Springdale, Washington County, Arkansas, 72764, United States

    SPRINGDALE, AR 727645335

    Phone: (479) 751-3722

    Fax: (479) 751-1099

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-10-27

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
I20051027000045ICertified Registered Nurse Anesthetist (Crna)MOTBD

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
00520Anesthesia for other closed procedure on chest3232$0
00910Anesthesia for other procedure on urinary system through urethra1414$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 72764)

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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: 1951375492View full group profile
NameSpecialtyState
-AR
Certified Registered Nurse Anesthetist (Crna)AR
-AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)KS

Reviews

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Frequently asked questions

What number should I use to identify ROBERT C BROCK (CRNA) for billing?
Administrative and clinical systems typically use NPI 1679533301 for ROBERT C BROCK (CRNA).
Quick check: is ROBERT C BROCK (CRNA) active?
Public NPPES data shows ROBERT C BROCK (CRNA) with an active NPI status right now.
What services align with ROBERT C BROCK (CRNA)'s listing?
ROBERT C BROCK (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to ROBERT C BROCK (CRNA)?
The directory associates ROBERT C BROCK (CRNA) with Springdale, Arkansas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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