Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Heather Dawn Brock

Individual provider Nurse Practitioner · NPI 1003574500

Heather Dawn Brock is a Nurse Practitioner in Eglin, Florida. Qualified in 2021, 5 years ago. Practices with Santa Rosa Hma Physician Management, LLC, a 52-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and Florida.

Years since qualifying
5
Licensed in
AL, FL
In the registry since
2021
Specialties on file
2

Practice location Address checks out

307 Boatner Rd Ste 114
Eglin, FL 32542-1302
Phone: (850) 883-9042
Fax: (850) 883-9702
Show map & directions

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

Additional practice locations (1)

  • 4264 Avalon Blvd, Milton, FL 32583-2808 — (850) 981-4000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11015727 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 1-182636 (AL)

Record details

NPI number1003574500
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 1, 2021
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Santa Rosa Hma Physician Management, Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients129
Services billed 441 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Santa Rosa Hma Physician Management, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 52 clinicians in the practice; 12 are shown here.

Other providers in Eglin