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

Kenneth M Brock, MD

Individual provider Diagnostic Radiology Physician · NPI 1861856080

Kenneth M Brock, MD is a Diagnostic Radiology in Old Westbury, New York. Qualified in 2016, 10 years ago. Practices with Millennium Medical Imaging PC, a 34-clinician group. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
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

19 The Pnes
Old Westbury, NY 11568-1126
Phone: (516) 633-1436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 330543 (NY)

Record details

NPI number1861856080
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2016
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Millennium Medical Imaging Pc — 34 clinicians
Accepts Medicare assignment Not indicated
Practice locations11 on file with Medicare

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