- Practice location
- 2725 Airview Blvd Ste 105, Portage, MI 49002-1804
- Phone
- 269-349-8386
- Fax
- —
- Last updated
- May 12, 2026
Michele Marie Brock is a Nurse Practitioner, Gerontology based in Portage, MI. Michele Marie Brock practices in Portage, MI and has the professional credentials of NP. The NPI Number for Michele Marie Brock is 1003269192 and holds a License No. APRN11018201 (MI). The current practice location address for Michele Marie Brock is 2725 Airview Blvd Ste 105, Portage, MI 49002-1804 and can be reached out via phone at 269-349-8386.
Provider Profile Details
- NPI Number
- 1003269192
- Provider Name
- Michele Marie Brock
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2725 Airview Blvd Ste 105, Portage, MI 49002-1804
- Phone Number
- 269-349-8386
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 13, 2016
- Last Update Date
- May 12, 2026
- Certification Date
- May 12, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2725 Airview Blvd Ste 105
Portage, MI 49002-1804 - City
- Portage
- State
- Michigan
- Zip
- 49002-1804
- Phone Number
- 269-349-8386
Provider Business Mailing Address Details
- Address
- Po Box 40412
Belfast, ME 04915-1255 - City
- Belfast
- State
- ME
- Zip
- 04915-1255
- Phone Number
- 269-349-8386
License Information
- License Number
- APRN11018201
- License State
- MI
- Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Gerontology providers near Portage, MI
View all Nurse Practitioner, Gerontology providers in Portage →Frequently Asked Questions
What is the NPI number of Ms. Michele M Brock, NP?
The NPI number of Ms. Michele M Brock, NP is 1003269192. It was assigned on July 13, 2016 and is currently active in the NPPES registry.
What is the specialty of Ms. Michele M Brock, NP?
Ms. Michele M Brock, NP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MI under license number APRN11018201.
Where does Ms. Michele M Brock, NP practice?
The practice location is 2725 Airview Blvd Ste 105, Portage, MI 49002-1804. The office can be reached at 269-349-8386 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003269192 directly on the NPPES registry website.