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

Dr. Jack A Brock, MD

Individual provider Diagnostic Radiology Physician · NPI 1851395610

Dr. Jack A Brock, MD is a Diagnostic Radiology Physician in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2005.

Licensed in
NM
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4411 The 25 Way NE Ste 150
Albuquerque, NM 87109-5888
Phone: (505) 332-6900
Fax: (505) 332-6921
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 77-139 (NM)

Record details

NPI number1851395610
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2005
Last updated in NPPESOctober 18, 2007
Mailing address4411 The 25 Way Ne, Ste 150, Albuquerque, NM 87109-5888

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