BROCK MINOR – Certified Registered Nurse Anesthetist, NPI 1245968320

BROCK MINOR is a healthcare provider. based in Bryan, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. APRN.CRNA.0020602 (OH). The NPI Number for BROCK MINOR is 1245968320

Main info

Male
4 Years Of Experience
Name
BROCK MINOR
NPI
1245968320
Phone
(419) 636-1131
Address
433 W HIGH ST
Enumeration Date
8 August 2022
Last Update Date
3 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4196361311
Graduation Year
2022 (4 years ago)
PAC ID
2365827045
Group Practice PAC ID
8729011333
Professional Enrollment ID
I20220915003288
Address ID
OH435061690BR433XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for BROCK MINOR

  • 433 W HIGH ST

    BRYAN, OH 435061690

    Phone: (419) 636-1131

    Fax: (419) 636-3100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($70).

Total Amount

$70

General + Research + Ownership

Payments

4

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$70
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: 2022-09-15

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
I20220915003288ICertified Registered Nurse Anesthetist (Crna)OHTBD

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
00812Anesthesia for exam of colon using an endoscope1515$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 43506)

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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: 8729011333View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)OH
-MO
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YOR
-IL
-KS
-IN

Reviews

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Frequently asked questions

What NPI should I save for BROCK MINOR?
Save NPI 1245968320 if you need a stable reference for BROCK MINOR.
Is BROCK MINOR active in the national directory?
BROCK MINOR's public NPI profile is in an active state.
Can you summarize BROCK MINOR's specialty in plain language?
Clinically, the directory lists BROCK MINOR with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place BROCK MINOR?
The snapshot lists Bryan, Ohio for BROCK MINOR; download NPPES for the complete set.
What if Bryan, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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