Brock C. Street, PA-C
NPI 1043759731ActiveIndividual· Physician Assistant· Fort Worth, TX
Physician Assistant (PA-C) with Cook Childrens Physician Network, practicing in Fort Worth, Texas. Enrolled in Medicare as practitioner - physician assistant. Urgo Medical North America, LLC reported $22.68 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1043759731 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 15, 2017 |
| Last updated in NPPES | Apr 6, 2023 |
| Certified by provider | Apr 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA11072 | TX |
| Physician Assistant, Surgical | 363AS0400X | PA11072 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Cook Childrens Physician NetworkFort Worth, TX · 315 clinicians
Industry payments (Open Payments)
- 2024$22.68 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Urgo Medical North America, LLC | $22.68 | 1 |
What the 2024 payments were for
- Food and Beverage$22.68 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 608 physician assistants in Fort Worth · All physician assistants in Texas