- Practice location
- 440 Maxwell RD, Eugene, OR 97404-2355
- Phone
- 541-321-0872
- Fax
- —
- Last updated
- June 26, 2025
Bennett A Brock is a Counselor based in Eugene, OR. The NPI number for Bennett A Brock is 1326866864 and holds license No. QMHP-R-3693 (OR). The current practice location address is 440 Maxwell RD, Eugene, OR 97404-2355 and the office can be reached by phone at 541-321-0872. The NPI was assigned on October 2, 2024 and the record was last updated in NPPES on June 26, 2025.
●Provider Profile Details
- NPI Number
- 1326866864
- Provider Name
- Bennett Alexander Brock
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- Yes
- Enumeration Date
- October 2, 2024
- Last Update Date
- June 26, 2025
- Certification Date
- June 26, 2025
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 440 Maxwell RD
Eugene, OR 97404-2355 - City
- Eugene
- State
- Oregon
- ZIP
- 97404-2355
- Country
- US
- Phone Number
- 541-321-0872
✉Business Mailing Address
- Address
- Po Box 827
Eugene, OR 97440-0827 - City
- Eugene
- State
- OR
- ZIP
- 97440-0827
- Phone Number
- 541-321-0872
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor 193400000X - Single Specialty Group | 101Y00000X | Yes | QMHP-R-3693 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Eugene →?Frequently Asked Questions
What is the NPI number of Bennett A Brock?
The NPI number of Bennett A Brock is 1326866864. It was assigned on October 2, 2024 and is currently active in the NPPES registry.
What is the specialty of Bennett A Brock?
Bennett A Brock is registered under the primary taxonomy Counselor (code 101Y00000X) and holds license No. QMHP-R-3693 (OR).
Where does Bennett A Brock practice?
The practice location is 440 Maxwell RD, Eugene, OR 97404-2355. The office can be reached at 541-321-0872 (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 1326866864 directly on the NPPES registry website at npiregistry.cms.hhs.gov.