Samantha Brock, MD
NPI 1104323880 · Surgery Physician · Jb Andrews, MD
Enrolled with Medicare as Order and Referring Only - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samantha Brock, MD is a Surgery Physician provider in Jb Andrews, MD (NPI 1104323880).
Provider details
- NPI number
- 1104323880
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 51st MdgUnit 2060, 51st Medical GroupApo, AP 96278-2060Phone: (315) 784-0196
- 128 E. Apple St.Wche 7th FloorDayton, OH 45409Phone: (937) 208-4953
- 128 E. Apple St.Wche 7th FloorDayton, OH 45409Phone: (937) 208-4953
- 4881 Sugar Maple DrWright Patterson Afb, OH 45433-5529Phone: (937) 257-8715
Registry dates
- Enumerated
- 2018-04-10
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Frequently asked questions
- What is Samantha Brock's NPI number?
- Samantha Brock's National Provider Identifier (NPI) is 1104323880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Brock's specialty?
- Samantha Brock is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Samantha Brock located?
- Samantha Brock's practice location on file with NPPES is 1060 W Perimeter Rd # R, Jb Andrews, MD 20762-6602.
- What is Samantha Brock's phone number?
- The practice phone number listed in the NPPES registry for Samantha Brock is (240) 612-2464.
- Does Samantha Brock accept Medicare?
- Samantha Brock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samantha Brock's NPI active?
- Yes — Samantha Brock's NPI (1104323880) is active in the NPPES registry as of the last update on 2024-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.