DAVID BROCK DO LLC (NPI# 1770764086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770764086 |
| Entity Type | Organization |
| Organization Name | DAVID BROCK DO LLC |
| Practice Address |
99 W 2nd St London OH 43140-1072 |
| Mailing Address |
Po Box 723 London OH 43140-0723 |
| Practice Telephone | 7408522612 |
| Mailing Telephone | 7408522612 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | DR. DAVID TODD BROCK (PHYSICIAN) |
| Authorized Official Telephone | 6147330816 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34-00-7161-B | OH | Allopathic & Osteopathic Physicians |
| Street Address |
99 W 2ND ST |
| City | LONDON |
| State | OH |
| Zip Code | 43140-1072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124588421 | Jennifer Howard | Counselor | 1851 Oh-56, London, OH 43140 | 2019-03-22 |
| 1497251896 | Jessica Nicole Ward | Registered Nurse | 371 Lafayette Street, London, OH 43140 | 2018-04-04 |
| 1356738439 | Kimberly Irene Kohli | Psychologist | 1580 State Route 56, Madison Correctional Institution, London, OH 43140 | 2015-04-16 |
| 1033502463 | Misty Fowler | Licensed Practical Nurse | 3775 Us Highway 40 Sw, London, OH 43140 | 2015-03-10 |
| 1295145266 | Sophie Hall | Licensed Practical Nurse | 2820 Old National Road, London, OH 43140 | 2014-04-30 |
| 1891119509 | London City Schools | Early Intervention Provider Agency | 380 Elm Street, London, OH 43140 | 2014-02-17 |
| 1588087654 | Dona Langdon | Dental Hygienist | 1580 State Roure 56, London, OH 43140 | 2014-01-27 |
| 1073818670 | David Allen Fairchild | Pharmacist | 238 Lafayette Street, K Mart Pharmacy 7547, London, OH 43140 | 2011-01-13 |
| 1275771958 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1355 St. Rt. 38 Se, London, OH 43140 | 2009-02-03 |
| 1225250756 | John C Starr | Hospice Care, Community Based | 62 S Oak St, London, OH 43140 | 2007-05-03 |
| Find all providers in zip 43140 | ||||
| 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 |
|---|---|---|---|---|
| 1548896335 | Keisha Shae Perkins | Family Medicine | 80 Oakwood Dr, London, KY 40744-5412 | 2020-03-12 |
| 1346870458 | Jessica Bennett | Family Medicine | 8946 Mcwhorter Rd, London, KY 40741-8721 | 2020-01-17 |
| 1831757368 | Amanda Radford | Family Medicine | 2694 Philpot Rd, London, KY 40744-9458 | 2019-05-30 |
| 1609393578 | Anna Michelle Jones | Family Medicine | 432 Scarlet Oak Dr, London, KY 40741-8298 | 2017-08-23 |
| 1881125680 | Abby Huck | Family Medicine | 1072 Eagleton Plz Ste A, London, OH 43140-9195 | 2017-03-23 |
| 1831562628 | Elliot L Neufeld | Family Medicine | 1851 St Rt 56, London, OH 43140-0740 | 2015-11-03 |
| 1902131550 | Suresh Panjwani | Family Medicine | Forest Primary Care Centre, 308 A Heartford Road, London, GB N97HD | 2009-10-14 |
| 1922262534 | Paul Ray Smith | Family Medicine | 505 E 9th St, London, KY 40741-1207 | 2008-07-12 |
| 1760697676 | Katherine Elaine Binns | Family Medicine | 1072 Eagleton Blvd, Suite A, London, OH 43140-9195 | 2007-05-14 |
| 1003959008 | Robert Sidney Reffner | Family Medicine | 105 Villas Ct Apt 40, London, KY 40741-5008 | 2007-02-15 |
| Find all providers in LONDON | ||||
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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.