HAYDEN BROCK (NPI# 1275181364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275181364 |
| Entity Type | Individual |
| Full Name | HAYDEN BROCK |
| Practice Address |
1201 Wesleyan St Fort Worth TX 76105-1536 |
| Mailing Address |
6202 Fernwood Dr Arlington TX 76001-5719 |
| Practice Telephone | 8175314444 |
| Mailing Telephone | 8174226473 |
| Enumeration Date | 2019-08-31 |
| Last Update Date | 2019-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1201 WESLEYAN ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76105-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932172913 | Pamela Dean Rast | Specialist/Technologist | 1201 Wesleyan St, Fort Worth, TX 76105-1536 | 2006-02-09 |
| 1164064671 | Sarah Elizabeth Shin | Student in an Organized Health Care Education/Training Program | 1201 Wesleyan St, Fort Worth, TX 76105-1536 | 2019-10-16 |
| 1952943474 | Abby Bobo | Student in an Organized Health Care Education/Training Program | 1201 Wesleyan St, Fort Worth, TX 76105-1536 | 2019-10-16 |
| 1710538657 | Travis Terranova | Specialist/Technologist | 1201 Wesleyan St, Fort Worth, TX 76105-1536 | 2019-09-23 |
| 1811545775 | Tuan Anh Bui | Specialist/Technologist | 1201 Wesleyan St, Fort Worth, TX 76105-1536 | 2019-09-03 |
| 1497303366 | Jarrett Blankenship | Specialist/Technologist | 1201 Wesleyan St, Fort Worth, TX 76105-1536 | 2019-09-03 |
| 1477100394 | Raquel Velasco Marinelarena | Specialist/Technologist | 1201 Wesleyan St, Fort Worth, TX 76105-1536 | 2019-08-26 |
| 1194372011 | Brittany M Cardone | Specialist/Technologist | 1201 Wesleyan St, Fort Worth, TX 76105-1536 | 2019-08-26 |
| 1467009381 | Samantha Manriquez | Specialist/Technologist | 1201 Wesleyan St, Fort Worth, TX 76105-1536 | 2019-08-26 |
| 1376190298 | Jessie D Clark | Specialist/Technologist | 1201 Wesleyan St, Fort Worth, TX 76105-1536 | 2019-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030567 | Brandon Ronald Lee | Optometrist | 2644 E Berry St., Fort Worth, TX 76105 | 2018-07-23 |
| 1366935165 | National Vision, Inc. | Technician/Technologist | 2644 East Berry Street, Fort Worth, TX 76105 | 2018-06-07 |
| 1609363100 | Courtney Mae Gramley | Specialist/Technologist | 1201 Wesleyan St., Fort Worth, TX 76105 | 2018-04-19 |
| 1992213078 | Fresenius Medical Care Se Fort Worth, LLC | Clinic/Center | 3708 E Rosedale St, Fort Worth, TX 76105 | 2018-01-11 |
| 1285978692 | Wal-mart Stores Texas LLC | Technician/Technologist | 2900 Renaissance Square, Fort Worth, TX 76105 | 2012-11-26 |
| 1548584998 | Access Dental of Berry, P.a. | Dentist | 4201 E. Berry Street, Suite #15, Fort Worth, TX 76105 | 2010-03-15 |
| 1811211261 | Access Dental of Rosedale P.a. | Dentist | 3620 E. Rosedale Street, Fort Worth, TX 76105 | 2010-03-15 |
| 1396345799 | Danielle Hampton | Pharmacist | Walmart Pharmacy, 2900 Renaissance Square, Fort Worth, TX 76105 | 2020-10-27 |
| 1174041578 | Destonee Wilson | Physician Assistant | 1650 S Beach St, Fort Worth, TX 76105 | 2017-09-06 |
| 1184019929 | Sheelarani Joseph | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105 | 2015-03-30 |
| Find all providers in zip 76105 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386258341 | Benjamin T Stefka | Specialist/Technologist | 9936 Gessner Dr, Fort Worth, TX 76244-5085 | 2020-09-06 |
| 1669093266 | Frank Baker | Specialist/Technologist | 3500 Bellaire Drive N, Fort Worth, TX 76129-0001 | 2020-05-05 |
| 1003442195 | Kaitlyn Paige Harrison | Specialist/Technologist | 3608 Clary Ave, Fort Worth, TX 76111-4818 | 2020-03-20 |
| 1770118135 | Baylie Benge | Specialist/Technologist | 4137 Tupelo Trl, Fort Worth, TX 76244-6930 | 2020-03-05 |
| 1497389118 | Marah Elizabeth Levy | Specialist/Technologist | 4000 Hulen Pl Apt 314, Fort Worth, TX 76107-7376 | 2020-03-03 |
| 1699309625 | Nancy Alejandra Paredes | Specialist/Technologist | 707 Meadow Park Dr, Fort Worth, TX 76108-2807 | 2020-02-28 |
| 1770115099 | Ian Underwood | Specialist/Technologist | 5204 Emmeryville Ln, Fort Worth, TX 76244-6200 | 2020-02-05 |
| 1427697671 | Victor Joseph West | Specialist/Technologist | 9932 Pyrite Dr, Fort Worth, TX 76131-4341 | 2020-01-04 |
| 1285281105 | Kaylee Baker | Specialist/Technologist | 817 Wesleyan St # 314, Fort Worth, TX 76105-1257 | 2019-08-26 |
| 1194389551 | Katherine Jordan | Specialist/Technologist | 4909 El Campo Ave Apt D, Fort Worth, TX 76107-4910 | 2019-04-30 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76105 |
Please comment or provide details below to improve the information on HAYDEN BROCK.
| 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.