Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brock Mitchell

Individual provider Physical Therapist · NPI 1790835221

Brock Mitchell is a Physical Therapist in Private Practice in Bowling Green, Missouri. Qualified in 1998, 28 years ago. Practices with Advance Hannibal Regional Hospital LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
28
Licensed in
MO
In the registry since
2007

Practice location Address checks out

710 S Business 61
Bowling Green, MO 63334-5239
Phone: (573) 324-6079
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 117923 (MO)

Record details

NPI number1790835221
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJuly 8, 2007
Mailing address53435 Eagle Ridge Ct, New London, MO 63459-2431

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Advance Hannibal Regional Hospital Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bowling Green