MICHAEL P BROCK, DPM — NPI 1629051198 (Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery in HARRISON, OH)

CMS-1500 Box 24J / 33a • NPI

1629051198

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

213ES0103X (CMS 48)

Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery

Box 32 Service Location & ZIP+4

10530 HARRISON AVE, HARRISON, OH, 45030-2141

✓ 9-Digit EDI 837 ZIP+4 (45030-2141)

Practice Phone & Referral Fax

(513) 367-0775

Fax: (513) 367-4714

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1629051198 (MICHAEL P BROCK, DPM) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1629051198` (NPI-1 Individual Practitioner)
Provider / Legal Name	MICHAEL P BROCK, DPM
Plain-English Specialty	Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery NUCC Code: `213ES0103X` (Podiatrist, Foot & Ankle Surgery)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	10530 HARRISON AVE, HARRISON, OH, 45030-2141
Practice Telephone / Fax	Tel: (513) 367-0775 \| Fax: (513) 367-4714
Administrative Mailing Address	9400 S CICERO AVE STE 100, OAK LAWN, IL, 60453-2536
Enumeration & Last Sync	Enumerated: 2005-11-29 \| CMS Record Updated: 2025-05-18

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

10530 HARRISON AVE, HARRISON, OH, 45030-2141

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Plain-English Taxonomy & CMS Crosswalk (213ES0103X)

What Does Taxonomy Code 213ES0103X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 213ES0103X translates to:
"Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 48 (Podiatry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Podiatrist, Foot & Ankle Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MICHAEL P BROCK, DPM)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`213ES0103X` — Podiatrist, Foot & Ankle Surgery Plain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery	State: OH \| License: `36002705` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MICHAEL P BROCK, DPM (NPI #1629051198)