Dr Jack A Brock, MD - Radiology in Albuquerque, NM

Dr Jack A Brock, MD is a Radiology - Diagnostic Radiology physician based in Albuquerque, New Mexico. Dr Jack A Brock is licensed to practice in New Mexico (license number 77-139) and his current practice location is 4411 The 25 Way Ne, Ste 150, Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 332-6900.

NPI number for Dr Jack A Brock is 1851395610 and his current mailing address is 4411 The 25 Way Ne, Ste 150, Albuquerque, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851395610.

Contact Information

Dr Jack A Brock, MD
4411 The 25 Way Ne, Ste 150,
Albuquerque, NM 87109-5888
(505) 332-6900
(505) 332-6921

Map and Direction




Physician's Profile

Full NameDr Jack A Brock
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location4411 The 25 Way Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851395610
  • Provider Enumeration Date: 06/09/2005
  • Last Update Date: 10/18/2007

Medical Identifiers

Medical identifiers for Dr Jack A Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851395610NPI-NPPES
L0634MedicaidNM
52713MedicaidNM
22467MedicaidNM
45138MedicaidNM
2258272OtherNMMEDICARE GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 77-139 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack A Brock is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jack A Brock, MD
4411 The 25 Way Ne, Ste 150,
Albuquerque, NM 87109-5888

Ph: (505) 332-6900
Dr Jack A Brock, MD
4411 The 25 Way Ne, Ste 150,
Albuquerque, NM 87109-5888

Ph: (505) 332-6900

Reviews and Comments


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