Individual Healthcare Provider
Samantha Gwen Brock, MD
Provider's NPPES record last updated: August 12, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1104323880
- Primary Specialty
- Surgery
- Practice Location
- Nellis Afb, Nevada
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 7:26 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Surgery
Allopathic & Osteopathic Physicians
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Taxonomy code 208600000X
Provider-Reported License Information
- Surgery (Indiana)
- 01083831A
Practice Locations
Practice Location
4700 Las Vegas Blvd N
Nellis Afb, Nevada 89191-6600
Phone: (702) 653-3898
Additional Practice Location
1060 W Perimeter Rd # R
Jb Andrews, Maryland 20762-6602
Phone: (240) 612-2464
Additional Practice Location
128 E. Apple St.
Wche 7th Floor
Dayton, Ohio 45409
Phone: (937) 208-4953
Additional Practice Location
51st Mdg
Unit 2060, 51st Medical Group
Apo, AP 96278-2060
Phone: (315) 784-0196
Additional Practice Location
4881 Sugar Maple Dr
Wright Patterson Afb, Ohio 45433-5529
Phone: (937) 257-8715
Additional Practice Location
128 E. Apple St.
Wche 7th Floor
Dayton, Ohio 45409
Phone: (937) 208-4953
Additional Practice Location
1800 W Charleston Blvd
Las Vegas, Nevada 89102-2386
Phone: (702) 383-2000
Record Information
- Enumeration Date
- April 10, 2018
- Provider's NPPES Record Last Updated
- August 12, 2026
- Certification Date
- August 12, 2026
- NPISignal NPPES Dataset
- August 2026
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