Kenneth M Brock, MD
Radiology, Diagnostic Radiology in Old Westbury, New York
1861856080- Practice location
- 19 The Pines, Old Westbury, NY 11568-1126
- Phone
- 516-633-1436
- Fax
- —
- Last updated
- October 5, 2026
Kenneth M Brock is a Radiology, Diagnostic Radiology based in Old Westbury, NY. Kenneth M Brock practices in Old Westbury, NY and has the professional credentials of MD. The NPI Number for Kenneth M Brock is 1861856080 and holds a License No. MD497506 (PA). The current practice location address for Kenneth M Brock is 19 The Pines, Old Westbury, NY 11568-1126 and can be reached out via phone at 516-633-1436.
Provider Profile Details
- NPI Number
- 1861856080
- Provider Name
- Kenneth M Brock
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 19 The Pines, Old Westbury, NY 11568-1126
- Phone Number
- 516-633-1436
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 13, 2016
- Last Update Date
- October 5, 2026
- Certification Date
- October 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 The Pines
Old Westbury, NY 11568-1126 - City
- Old Westbury
- State
- New York
- Zip
- 11568-1126
- Phone Number
- 516-633-1436
Provider Business Mailing Address Details
- Address
- 215 8TH St Apt 3
Jersey City, NJ 07302-2093 - City
- Jersey City
- State
- NJ
- Zip
- 07302-2093
- Phone Number
- 631-942-9869
License Information
- License Number (1)
- MD497506
- License State (1)
- PA
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (2)
- 330543
- License State (2)
- NY
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Radiology, Diagnostic Radiology providers near Old Westbury, NY
View all Radiology, Diagnostic Radiology providers in Old Westbury →Frequently Asked Questions
What is the NPI number of Kenneth M Brock, MD?
The NPI number of Kenneth M Brock, MD is 1861856080. It was assigned on April 13, 2016 and is currently active in the NPPES registry.
What is the specialty of Kenneth M Brock, MD?
Kenneth M Brock, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in PA under license number MD497506.
Where does Kenneth M Brock, MD practice?
The practice location is 19 The Pines, Old Westbury, NY 11568-1126. The office can be reached at 516-633-1436 (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 1861856080 directly on the NPPES registry website.