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Active NPI 1124541057 Individual Practitioner Male Practitioner

Brock Burris , RN

Registered Nurse - Emergency • Dover, OH

Professional Overview & Biography Verified Profile Summary

Brock Burris, RN is a registered healthcare professional specializing in Registered Nurse - Emergency in Dover, OH. Practice services are available at 1711 DOVER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1711 Dover Ave

Dover, OH 446222529

Telephone 3309876707

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - Emergency in Dover, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Dover, OH (66 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse - Emergency Primary Specialty

NUCC Taxonomy Code: 163WE0003X

State License OH 48411

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rn Liscence
408411 (OH)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2017

Registered at 1711 DOVER AVE, DOVER, OH 446222529 (Tel: (330) 987-6707)

📍
Updated Business Mailing Address July 23, 2017

Registered at 1711 DOVER AVE, DOVER, OH 446222529 (Tel: 3309876707)

👤
Provider Name / Credentials Updated July 23, 2017

Recorded as BROCK BURRIS, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2017

Registered Nurse (License #48411 in OH)

🟢
Initial NPI Registration & Enumeration July 23, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1124541057
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2017
Last Update: July 21, 2022
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1711 Dover Ave

Dover, OH 446222529

Phone: 3309876707

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.