Samantha Gwen Brock, MD
NPI 1104323880ActiveIndividual· Surgery· Nellis Afb, NV
Surgery (MD) in Nellis Afb, Nevada, licensed in IN, with an NPI issued in April 2018. Enrolled in Medicare as order and referring only - general surgery. W. L. Gore & Associates, Inc. reported $50.00 in payments in 2025, mostly education.
Overview
| NPI | 1104323880 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 10, 2018 |
| Last updated in NPPES | Aug 12, 2026 |
| Certified by provider | Aug 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 01083831A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - General Surgery (OH) |
|---|
Industry payments (Open Payments)
- 2025$50.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| W. L. Gore & Associates, Inc. | $50.00 | 1 |
What the 2025 payments were for
- Education$50.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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