DR. JOHN C BROCK (NPI# 1154327393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154327393 |
| Entity Type | Individual |
| Full Name | DR. JOHN C BROCK |
| Other Name | DR. JACK BROCK |
| Credential | MD |
| Practice Address |
5304 4th Avenue Cir E Bradenton FL 34208-5624 |
| Mailing Address |
3007 W Fair Oaks Ave Tampa FL 33611-1640 |
| Practice Telephone | 9417442640 |
| Practice Fax Number | 9417442650 |
| Mailing Telephone | 8132945795 |
| Mailing Fax Number | 9417442650 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME41814 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3052 Harbor Blvd Ste 2, Port Charlotte, FL 339526758 | 9417442640 | 9417442650 |
| 2237 Us Highway 27 S, Sebring, FL 338704936 | 9417442640 | 9417442650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285021691 | John Brock | Case Manager/Care Coordinator | 700 Brooksedge Blvd, Westerville, OH 43081-2820 | 2015-04-23 |
| 1689773020 | John Brock | Urology | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-22 |
| 1376555227 | John E Brock | Dentist | 100a Prestige Park Dr, Hurricane, WV 25526-8417 | 2006-08-12 |
| 1376573212 | John H Brock | Anesthesiology | 200 Memorial Ave, Westminster, MD 21157-5726 | 2006-07-04 |
| Street Address |
5304 4TH AVENUE CIR E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-5624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043664055 | Erin Crowell | Nurse Practitioner | 5304 4th Avenue Cir E, Bradenton, FL 34208-5624 | 2016-04-15 |
| 1245421247 | Ronald Smith Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5304 4th Avenue Cir E, Bradenton, FL 34208-5624 | 2007-08-05 |
| 1982804761 | Joseph P Alesnik | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5304 4th Avenue Cir E, Bradenton, FL 34208-5624 | 2007-07-20 |
| 1710921770 | Alessandro Golino | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5304 4th Avenue Cir E, Bradenton, FL 34208-5624 | 2006-06-16 |
| 1922053115 | Riverview Cardiac Surgery P A | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5304 4th Avenue Cir E, Bradenton, FL 34208-5624 | 2006-05-24 |
| 1386698041 | Guillermo Sanabria | Surgery | 5304 4th Avenue Cir E, Bradenton, FL 34208-5624 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659383008 | Richard James Peterson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 623 39th St W, Suite 2, Bradenton, FL 34205-2408 | 2006-08-13 |
| 1245421247 | Ronald Smith Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5304 4th Avenue Cir E, Bradenton, FL 34208-5624 | 2007-08-05 |
| 1982804761 | Joseph P Alesnik | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5304 4th Avenue Cir E, Bradenton, FL 34208-5624 | 2007-07-20 |
| 1710921770 | Alessandro Golino | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5304 4th Avenue Cir E, Bradenton, FL 34208-5624 | 2006-06-16 |
| 1083651913 | Bradenton Cardiac Surgeons, Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 300 Riverside Dr E, Suite# 2600, Bradenton, FL 34208-1008 | 2006-05-31 |
| 1922053115 | Riverview Cardiac Surgery P A | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5304 4th Avenue Cir E, Bradenton, FL 34208-5624 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765898 | Leonardo Andrade Mulinari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 Nw 14th St Ofc 462, Miami, FL 33136-2107 | 2020-09-21 |
| 1093344376 | Jupiter Medical Center Physicians Group Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1002 S Old Dixie Hwy Ste 101, Jupiter, FL 33458-7202 | 2020-04-07 |
| 1720581937 | John J Dunning | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12901 Bruce B Downs Blvd # 62, Tampa, FL 33612-4742 | 2018-03-14 |
| 1871020545 | Nicholas James Sears | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 450 Knights Run Ave, Suite 1406, Tampa, FL 33602-6300 | 2017-05-12 |
| 1124410857 | Miami Vein Clinics Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8549 Coral Way, Miami, FL 33155-2335 | 2015-03-04 |
| 1861884595 | Usa Vascular Centers of Miami Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1711 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4621 | 2015-03-04 |
| 1568861995 | Modesto Peralta Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 423 W Fenway Dr, Hernando, FL 34442-5144 | 2014-08-21 |
| 1477982197 | Paul Kurlansky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2755 N Bay Rd, Miami Beach, FL 33140-4264 | 2013-11-04 |
| 1184063521 | Walter Smithwick IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Prince Edward Rd, Jacksonville, FL 32210-8118 | 2013-06-19 |
| 1023451937 | Leonard R. Levy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1121 Crandon Blvd, F-701, Key Biscayne, FL 33149-2755 | 2013-04-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.