MISS BRIDGET ANNE BROCK (NPI# 1942483466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942483466 |
| Entity Type | Individual |
| Full Name | MISS BRIDGET ANNE BROCK |
| Credential | MS |
| Practice Address |
2601 E 5th Pl Tulsa OK 74104-2905 |
| Practice Telephone | 9188339920 |
| Mailing Telephone | 9188339920 |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
2601 E 5TH PL |
| City | TULSA |
| State | OK |
| Zip Code | 74104-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295106375 | Daisha Norton | Counselor | 1004 W Reading Pl, Tulsa, OK 74127-2700 | 2015-10-14 |
| 1255760476 | Kellie Schulze | Counselor | 1217 S Urbana Ave, Tulsa, OK 74112-5227 | 2013-11-07 |
| 1326240896 | Barbara Etheredge | Counselor | 7010 S. Yale Ave Ste 215, Tulsa, OK 74136 | 2007-06-05 |
| 1083138663 | Caitlin Browning | Counselor | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 | 2017-07-26 |
| 1023561776 | Rebecca Van Der Hagen | Counselor | 201 W 5th St Ste 505, Tulsa, OK 74103-4277 | 2016-07-29 |
| 1225426208 | Carla Muldrow | Counselor | 3015 E Skelly Dr, Tulsa, OK 74105-6317 | 2014-12-29 |
| 1225450182 | Andrea Miller Lister | Counselor | 5555 S Lewis Ave, Tulsa, OK 74105-7104 | 2014-01-13 |
| 1467786111 | Calvianni Hopewell | Counselor | 7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743 | 2009-09-29 |
| 1083887681 | Courtney Jean Dixon | Counselor | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2008-04-04 |
| 1437351897 | Cory John Simas | Counselor | 7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743 | 2007-06-05 |
| Find all providers in TULSA | ||||
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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.