PAUL BENNETT BROCK (MD) – Surgery Physician, NPI 1790845048

PAUL BENNETT BROCK (MD) is a healthcare provider. based in Rome, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 026466 (GA). The NPI Number for PAUL BENNETT BROCK (MD) is 1790845048

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
PAUL BENNETT BROCK (MD)
NPI
1790845048
Phone
(762) 235-1000
Address
221 TECHNOLOGY PKWY NW
Enumeration Date
9 December 2006
Last Update Date
23 March 2020

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7065095000
Graduation Year
1983 (43 years ago)
PAC ID
6507760329
Group Practice PAC ID
6406852375
Professional Enrollment ID
I20060119000468
Address ID
GA301655621RO304XXSWXX500

Contacts

Secure Messaging
paul.brock.1@1498.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,092 GENERAL SURGERY in GA

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Provider Addresses for PAUL BENNETT BROCK (MD)

  • 221, Technology Parkway, Berryhill, Rome, Floyd County, Georgia, 30165, United States

    ROME, GA 301651369

    Phone: (762) 235-1000

    Type: Mailing

  • Martha Berry Boulevard, DeSoto Homes, Rome, Floyd County, Georgia, 30149, United States

    ROME, GA 301651625

    Phone: (706) 295-5331

    Fax: (706) 236-6432

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $418.

Total Amount is formed as General ($418) + Research ($0) + Ownership ($0) = $418.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Becton, Dickinson and Company ($178).

Total Amount

$418

General + Research + Ownership

Payments

15

Total payment records

General Amount

$418

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-01-19

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
I20060119000468IGeneral SurgeryGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes205155$0
36415Insertion of needle into vein for collection of blood sample11270$0
99205New patient office or other outpatient visit, 60-74 minutes6767$0
84443Blood test, thyroid stimulating hormone (tsh)4926$0
99214Established patient office or other outpatient visit, 30-39 minutes4240$0
View full utilization report →

Insurance plans in this area (ZIP 30165)

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Provider's Procedures

PAUL BENNETT BROCK (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYGA38900Lymph node imaging during surgery1414

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: 6406852375View full group profile
NameSpecialtyState
Family PracticeGA
P S Y C H I A T R YMI
Physician AssistantGA
Family PracticeGA
U R O L O G YNC
General SurgeryGA
Physician AssistantGA
U R O L O G YFL
Nurse PractitionerGA
General SurgeryGA

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Frequently asked questions

What federal number belongs to PAUL BENNETT BROCK (MD)?
The federal identifier for PAUL BENNETT BROCK (MD) is NPI 1790845048.
Is PAUL BENNETT BROCK (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize PAUL BENNETT BROCK (MD)'s specialty in plain language?
Clinically, the directory lists PAUL BENNETT BROCK (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for PAUL BENNETT BROCK (MD)?
We surface Rome, Georgia for PAUL BENNETT BROCK (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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