Katelyn Brock, MD
NPI 1366239089 · Student in an Organized Health Care Education/Training Program · Jacksonville, FL
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Katelyn Brock, MD is a Student in an Organized Health Care Education/Training Program provider in Jacksonville, FL (NPI 1366239089).
Provider details
- NPI number
- 1366239089
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2025-04-24
- Last updated
- 2025-04-24
- Certified
- 2025-04-24
Frequently asked questions
- What is Katelyn Brock's NPI number?
- Katelyn Brock's National Provider Identifier (NPI) is 1366239089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katelyn Brock's specialty?
- Katelyn Brock is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Katelyn Brock located?
- Katelyn Brock's practice location on file with NPPES is 2627 Riverside Ave, Jacksonville, FL 32204-4717.
- What is Katelyn Brock's phone number?
- The practice phone number listed in the NPPES registry for Katelyn Brock is (904) 308-7372.
- Does Katelyn Brock accept Medicare?
- Katelyn Brock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Katelyn Brock's NPI active?
- Yes — Katelyn Brock's NPI (1366239089) is active in the NPPES registry as of the last update on 2025-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.