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Deactivated NPI 1235240250 Deactivated / Inactive NPI Male Practitioner

Dr. Kirk D Brock , DPM

Podiatrist • Bloomington, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kirk Brock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2006
NPI Deactivation Date July 01, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Kirk Brock, DPM was a registered Podiatrist practicing in Bloomington, IL. Throughout an active medical career spanning 15 years, Dr. Brock provided care at the practice location at 2708 MCGRAW DR until profile deactivation on 2021-07-01.

Historical Medicare Part B clinical services included trimming of dystrophic nails, any number, removal of noncancer thickened skin growth, 2-4 growths, removal of single thickened skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2708 Mcgraw Dr

Bloomington, IL 617046012

Telephone 3096632306
Fax 3096621213
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.7 Yrs
State Avg: 29.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Bloomington, IL (647 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0127 Trimming of dystrophic nails, any number
611 546 $50.00 $15.19
11056 Removal of noncancer thickened skin growth, 2-4 growths
248 223 $157.00 $79.04
11055 Removal of single thickened skin growth
187 169 $133.00 $68.85
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes
37 37 $126.00 $58.96
G0127 Trimming of dystrophic nails, any number
36 36 $50.00 $4.48
11720 Removal of fingernails or toenails, 1-5 nails
23 21 $70.00 $32.63
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
23 23 $92.00 $42.53
11056 Removal of noncancer thickened skin growth, 2-4 growths
20 20 $157.00 $21.99
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
15 15 $92.00 $42.99
99341 New patient home visit, typically 20 minutes
12 12 $114.00 $53.71

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1215048202

Doctor of Podiatric Medicine

NPI 1396766432

Doctor of Podiatric Medicine

NPI 1710098652

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
⚠️
NPI Profile Deactivated July 01, 2021

Record deactivated on July 01, 2021

NPI Profile Active January 18, 2018

NPI status registered as active in NPPES database

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Updated Practice Location January 18, 2018

Registered at 2708 MCGRAW DR, BLOOMINGTON, IL 617046012 (Tel: 3096632306)

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Updated Business Mailing Address January 18, 2018

Registered at 2708 MCGRAW DR, BLOOMINGTON, IL 617046012 (Tel: 3096632306)

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Provider Name / Credentials Updated January 18, 2018

Recorded as KIRK BROCK, D.P.M.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2018

Podiatrist (License #016004533 in IL)

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2017

Podiatrist (License #016004533 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2708 MCGRAW DR, BLOOMINGTON, IL 617046012 (Tel: 3096632306)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2708 MCGRAW DR, BLOOMINGTON, IL 617046012 (Tel: 3096632306)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KIRK BROCK, D.P.M.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Podiatrist

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Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235240250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: July 08, 2007
Deactivation Date: July 01, 2021

Mailing Address

2708 Mcgraw Dr

Bloomington, IL 617046012

Phone: 3096632306

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.