Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Jared L Brock, PA
Physician Assistant in Columbus, IN · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1073551248
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Registry record
Entity type Individual (Type 1)
Name Mr. Jared L Brock
Credential PA
Sex Male
Practice address 4001 W Goeller Blvd Ste A, Columbus, IN, 47201
Phone (812) 375-3330
Fax (812) 375-3329
Enumeration date Jun 2, 2006
Last updated in NPPES Sep 9, 2024
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 10000575A (IN) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10000575A | Other | IN | INDIANA LICENSE |
| 000000991456 | Other | IN | ANTHEM PIN |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Jared Brock?
Jared Brock is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Andrea Mernitz Family Medicine Physician · Columbus, IN NPI 1962460964 Ann James Family Nurse Practitioner · Columbus, IN NPI 1285692921 Philippa Shedd Family Medicine Physician · Columbus, IN NPI 1336172394 Brian Niedbalski Family Medicine Physician · Columbus, IN NPI 1124040589 Danielle Keach Family Nurse Practitioner · Columbus, IN NPI 1760935134 Samantha Fleckenstein Family Medicine Physician · Columbus, IN NPI 1356848386 Svetlana Varchenko Family Nurse Practitioner · Columbus, IN NPI 1639652100
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-09.