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

Brock Mitchell

Individual provider Physical Therapist · NPI 1790835221

Brock Mitchell is a Physical Therapist in Private Practice in Bowling Green, Missouri. Qualified in 1998, 28 years ago. Practices with Advance Hannibal Regional Hospital LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
28
Licensed in
MO
In the registry since
2007

Practice location Address checks out

710 S Business 61
Bowling Green, MO 63334-5239
Phone: (573) 324-6079
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 117923 (MO)

Record details

NPI number1790835221
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Advance Hannibal Regional Hospital Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bowling Green