BROCK ALLEN MASON (NPI# 1821408931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821408931 |
| Entity Type | Individual |
| Full Name | BROCK ALLEN MASON |
| Credential | D.O. |
| Practice Address |
4175 S Alamo Ave Bldg 400, Flight Med Tucson AZ 85707-4402 |
| Practice Telephone | 5202282703 |
| Mailing Telephone | 5202282703 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2015-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
006745 | AZ | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | SL1008 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
4175 S ALAMO AVE BLDG 400, FLIGHT MED |
| City | TUCSON |
| State | AZ |
| Zip Code | 85707-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760956387 | Kyle Lynn Craver | Military Health Care Provider | 4175 S Alamo Ave, Tucson, AZ 85707 | 2019-01-16 |
| 1396216099 | Laura Bette | Social Worker | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2018-12-07 |
| 1679048250 | Lam T Chung | Pharmacist | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2018-10-10 |
| 1811477235 | Alan Thatcher Price | Military Health Care Provider | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2018-08-15 |
| 1841776101 | Kimberly Johnson | Nurse Practitioner | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2018-07-19 |
| 1457868598 | Kristina Marie Linden | Social Worker | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2018-01-10 |
| 1235668054 | Joseph Anthony Everett | Dentist | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2017-06-06 |
| 1407205743 | Eun Soo David Park | Family Medicine | 4175 S Alamo Ave, Tucson, AZ 85707 | 2016-06-07 |
| 1477907590 | Vanessa F Scheirer | Physical Therapist | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2016-04-14 |
| 1164883104 | Marc Enslow | Dentist | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2016-03-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699128850 | Megan Dehaven | Specialist/Technologist | 5455 E Comanche St, Tucson, AZ 85707 | 2016-07-22 |
| 1780927954 | Ryan N Taylor | Physician Assistant | 400, 4175 S Alamo Ave, Davis-monthan Afb, AZ 85707 | 2013-04-05 |
| 1154658839 | Alisha A Marchetti | Physician Assistant | 4175 S. Alamo Avenue, 355th Mdg/mdos, Davis-monthan Afb, AZ 85707 | 2009-11-17 |
| 1851529192 | Christopher Thomas Yarbrough | Military Health Care Provider | 4625 South Phoenix Street Bldg 4843, Tucson, AZ 85707 | 2009-06-25 |
| 1144457045 | Denise Fabian | Psychiatry & Neurology | 5427 E. Madera Street, Davis Monthan Afb, AZ 85707 | 2009-06-17 |
| 1942437447 | Emerson M Earle | Military Health Care Provider | 4625 S. Phoenix St, Bld 4843, Tucson, AZ 85707 | 2009-06-11 |
| 1164657136 | Raul Romero | Military Health Care Provider | 4575 S. Phoenix St. 563rd Oss, Dmafb, AZ 85707 | 2009-05-20 |
| 1063647196 | Virginia E. Bailey | Military Health Care Provider | 4837 S Phoenix St., Rm 119 Davis-monthan Air Force Base, Tucson, AZ 85707 | 2009-05-19 |
| 1043417611 | Jacob Riis | Orthopaedic Surgery | 355 Mdg, 4175 South Alamo Ave, Tucson, AZ 85707 | 2007-06-28 |
| 1508989732 | Christopher E. Dunham | Physician Assistant | 4175 S. Alamo Ave Bldg 400, 355th Medical Group-davis Monthan Afb, Tucson, AZ 85707 | 2007-04-10 |
| Find all providers in zip 85707 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407823602 | Adam Joseph Newell | Preventive Medicine | Alamo Dr., Davis Monthan Afb - Flight Medicine, Tucson, AZ 85707 | 2006-03-07 |
| 1306227590 | Joseph Mitchell Duren Jr. | Preventive Medicine | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2015-06-12 |
| 1497142061 | Tanner Evan Goff | Preventive Medicine | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2015-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962479881 | James Allen Black | Preventive Medicine | 4343 E 31st Pl, Yuma, AZ 85365-6553 | 2006-03-01 |
| 1457321192 | William Walker | Preventive Medicine | 14336 E Manhead Lookout Dr, Vail, AZ 85641-2550 | 2006-01-25 |
| 1518323260 | Keith Roxo | Preventive Medicine | 406 Halstead Ave, Yuma, AZ 85369 | 2016-01-11 |
| 1760884415 | Brian F Mccrary Do | Preventive Medicine | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2014-09-24 |
| 1831346832 | Andrew Charles Marchiando | Preventive Medicine | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2008-08-20 |
| 1497976294 | Calen Wherry | Preventive Medicine | 355th Medical Group, 280 First Street, Bldg 23, Davis Monthan Afb, AZ 85707-4405 | 2007-05-01 |
| 1598738577 | James Edward Stepenosky | Preventive Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2006-02-09 |
| 1114997673 | Christopher Joseph Trollman | Preventive Medicine | 2240 E. Winrow Ave, Fort Huachuca, AZ 85613-7079 | 2006-01-25 |
| 1093704256 | Kenneth Karl Knight | Preventive Medicine | 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402 | 2005-10-19 |
| 1972597490 | Brian Fountain Mccrary | Preventive Medicine | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2005-09-12 |
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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.