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

Mr. Casey Simon Brock, PA

Individual provider Physician Assistant · NPI 1881953602

Mr. Casey Simon Brock, PA is a Physician Assistant in Duluth, Minnesota. Graduated from University of Nebraska College of Medicine in 2013, 13 years ago. Practices with The Duluth Clinic Ltd, a 1,127-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Florida, Minnesota, Texas and Wisconsin.

Years since qualifying
13
Trained at
University of Nebraska College of Medicine
Licensed in
FL, MN, TX, WI
In the registry since
2012
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

920 E 1st St Ste 201
Duluth, MN 55805-2215
Phone: (612) 444-3247
Fax: (612) 888-4247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 4181 108th Ave Ne, Blaine, MN 55449-7439 — (612) 444-3247
  • 350 W Burnsville Pkwy Ste 200, Burnsville, MN 55337-2598 — (612) 444-3247
  • 2480 White Bear Ave N Ste 104, Maplewood, MN 55109-4568 — (124) 443-2476
  • 8325 City Centre Dr Ste 140, Woodbury, MN 55125-3323 — (612) 444-3247

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13273 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 5908-23 (WI)
Physician Assistant Taxonomy 363A00000X · Licence PA09822 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA9114121 (FL)

Record details

NPI number1881953602
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 14, 2012
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice The Duluth Clinic Ltd — 1127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Duluth