DR. DAVID C BROCK (NPI# 1760460463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760460463 |
| Entity Type | Individual |
| Full Name | DR. DAVID C BROCK |
| Credential | MD |
| Practice Address |
1011 Berk Rd Leesport PA 19533-8705 |
| Mailing Address |
404 Oak Hill Ln Wyomissing PA 19610-3209 |
| Practice Telephone | 6103764841 |
| Practice Fax Number | 6103764168 |
| Mailing Telephone | 6106709255 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2013-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD020471E | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427575224 | David Brock | Specialist/Technologist | 106 E Main St., Spring Arbor, MI 49283 | 2017-08-23 |
| 1578926259 | David B Brock | Occupational Therapist | 220 N Main Ave, Scranton, PA 18504-3304 | 2016-03-31 |
| 1912159351 | David J Brock | Social Worker | 1020 Long Blvd, 5, Lansing, MI 48911-6896 | 2008-10-16 |
| 1881756278 | David Phillip Brock | Dentist | 40 Dormody Ct, Suite A, Monterey, CA 93940-2908 | 2006-12-14 |
| 1225009392 | David Todd Brock | Family Medicine | 2656 Sw 118th Ter, Gainesville, FL 32608 | 2006-01-27 |
| 1205024122 | David Wesley Brock | Physician Assistant | 3550 N University Ave, Suite 250, Provo, UT 84604-6683 | 2007-10-04 |
| 1568589752 | David Whitfield Brock | Internal Medicine | 1155 Mill St, Reno, NV 89502 | 2007-03-23 |
| 1447273057 | David G. Brock | Psychiatry & Neurology | 900 Walnut St, 2nd Floor, Philadelphia, PA 19107-5509 | 2006-07-25 |
| 1124040423 | David F Brock | Physical Therapist | 26617 Carmel Center Pl, Carmel, CA 93923-8655 | 2006-07-24 |
| 1699716795 | David H Brock | Counselor | 4325 Laurel St, Anchorage, AK 99508-5338 | 2006-06-09 |
| Street Address |
1011 BERK RD |
| City | LEESPORT |
| State | PA |
| Zip Code | 19533-8705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053318501 | County of Berks Office of The Controller | Skilled Nursing Facility | 1011 Berk Rd, Business Office, Leesport, PA 19533-8705 | 2005-06-30 |
| 1689272882 | Howard Misson Williams IIi | Occupational Therapist | 1011 Berk Rd, Leesport, PA 19533-8705 | 2020-10-12 |
| 1407466246 | Jasmere Schleicher | Physical Medicine & Rehabilitation | 1011 Berk Rd, Leesport, PA 19533-8705 | 2020-08-06 |
| 1003477753 | Carolyn Marie Goff | Occupational Therapist | 1011 Berk Rd, Leesport, PA 19533-8705 | 2019-06-24 |
| 1366929663 | Taylor Erin Mckeon | Speech-Language Pathologist | 1011 Berk Rd, Leesport, PA 19533-8705 | 2018-07-19 |
| 1306353545 | Steven Roughton | Physical Therapist | 1011 Berk Rd, Leesport, PA 19533-8705 | 2018-01-09 |
| 1215442983 | Katlyn Stremmel | Physical Therapy Assistant | 1011 Berk Rd, Leesport, PA 19533-8705 | 2017-12-04 |
| 1740794676 | Ricki Koch | Occupational Therapy Assistant | 1011 Berk Rd, Leesport, PA 19533-8705 | 2017-11-30 |
| 1831634245 | Jessica Lynn Heck | Occupational Therapist | 1011 Berk Rd, Leesport, PA 19533-8705 | 2016-12-21 |
| 1386188662 | Navraj Shergill | Physical Therapist | 1011 Berk Rd, Leesport, PA 19533-8705 | 2016-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1386825420 | Med Calls | Health Maintenance Organization | 5 South Center Ave., 204, Leesport, PA 19533 | 2007-11-16 |
| 1851416598 | Sarah K Snyder | Physical Therapy Assistant | 1011 Berks Rd, Leesport, PA 19533 | 2007-03-20 |
| 1114042801 | Jacqueline Rosello | Occupational Therapy Assistant | 1011 Berks Road, Leesport, PA 19533 | 2007-03-20 |
| 1952465460 | John Stephen Hottenstein | Dentist | First & Peach Sts, Leesports, PA 19533 | 2006-12-20 |
| 1336200153 | Darren T Koch | Chiropractor | Schoolside Plaza, Suite 102, Leesport, PA 19533 | 2006-12-13 |
| 1386741882 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 906 W Leesport Rd, Leesport, PA 19533 | 2006-09-20 |
| 1750346441 | Schuylkill Valley Family Practice PC | Family Medicine | 5 S Centre Avenue, Leesport, PA 19533 | 2006-04-18 |
| 1386646875 | Juliet Cook | Nurse Practitioner | 700 Admiral Nelson Dr., Malvern, PA 19533 | 2005-08-15 |
| 1952897738 | Penn State Health Community Medical Group, LLC | Family Medicine | 5 S Centre Ave, Leesport, PA 19533 | 2018-07-05 |
| Find all providers in zip 19533 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073900270 | Joanna Grzadziel | Family Medicine | 5 S Centre Ave Ste A3, Leesport, PA 19533-8661 | 2015-04-25 |
| 1881754711 | David W Bowers | Family Medicine | 5471b Pottsville Pike, Leesport, PA 19533-8633 | 2006-12-11 |
| 1265497259 | Timothy John Makatche | Family Medicine | 5 S Centre Ave, A3, Leesport, PA 19533-8653 | 2006-04-20 |
| 1750346441 | Schuylkill Valley Family Practice PC | Family Medicine | 5 S Centre Avenue, Leesport, PA 19533 | 2006-04-18 |
| 1417918301 | Kenneth J. Lord | Family Medicine | 111 Robby Dr, Leesport, PA 19533-9435 | 2006-03-30 |
| 1952897738 | Penn State Health Community Medical Group, LLC | Family Medicine | 5 S Centre Ave, Leesport, PA 19533 | 2018-07-05 |
| 1891750899 | Gregory Charles Tuke | Family Medicine | 5 S Centre Ave, A3, Leesport, PA 19533-8653 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
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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.