DR. GREGORY K BROCK (NPI# 1952374779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952374779 |
Entity Type | Individual |
Full Name | DR. GREGORY K BROCK |
Credential | DO |
Practice Address |
1436 Locust St Terre Haute IN 47807-1648 |
Practice Telephone | 8122327447 |
Practice Fax Number | 8122326962 |
Mailing Telephone | 8122327447 |
Mailing Fax Number | 8122326962 |
Enumeration Date | 2006-02-10 |
Last Update Date | 2014-11-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 02001784 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200179390 | 05 | |
IN | RAILROAD | P00950465 | 01 |
IN | RAILROAD MEDICARE | 080190613 | 01 |
Street Address |
1436 LOCUST ST |
City | TERRE HAUTE |
State | IN |
Zip Code | 47807-1648 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881248037 | Jessica R May | Nurse Practitioner | 1436 Locust St, Terre Haute, IN 47807-1648 | 2019-07-26 |
1043617459 | Donald Gregg Dowdy | Physician Assistant | 1436 Locust St, Terre Haute, IN 47807-1648 | 2014-12-01 |
1679984199 | Isaiah Jernberg | Dentist | 1436 Locust St, Terre Haute, IN 47807-1648 | 2014-05-19 |
1376974527 | Wabash Valley Health Center, Inc. | Clinic/Center | 1436 Locust St, Terre Haute, IN 47807-1648 | 2013-12-12 |
1588755078 | Mary Elizabeth Ulrich | Nurse Practitioner | 1436 Locust St, St Ann's Clinic/wabash Valley Health Center, Terre Haute, IN 47807-1648 | 2006-09-27 |
1053429407 | Roberta Lynn Delp | Nurse Practitioner | 1436 Locust St, Terre Haute, IN 47807-1648 | 2006-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972150175 | Acceleraed Rehabilitation Centers Ltd | Physical Therapist | 516 Wabash Ave, Terre Haute, IN 47807 | 2019-08-22 |
1548753403 | Terre Haute Aal Lp | Assisted Living Facility | 650 Lafayette Avenue, Terre Haute, IN 47807 | 2018-06-14 |
1790286300 | Hamilton Center, Inc. | Clinic/Center | 88 Court Wabash Court, Terre Haute, IN 47807 | 2018-02-28 |
1073022703 | Charles Martinez | Case Manager/Care Coordinator | 1619 5th Ave, Terre Haute, IN 47807 | 2017-09-26 |
1326578931 | Ian Nicholas Bostock | Specialist/Technologist | 1113 North 8th Street, Terre Haute, IN 47807 | 2017-06-15 |
1619309804 | Kimberly R Rollings | Audiologist | 1429 North Sixth Street, Terre Haute, IN 47807 | 2013-07-30 |
1376827550 | Lazaro Vu | Pharmacist | 1300 Wabash Avenue, Terre Haute, IN 47807 | 2011-10-05 |
1609016211 | Midwest Neurosurgery, P.C. | Specialist | 1530 N. 7th Street, Suite 106, Terre Haute, IN 47807 | 2009-02-23 |
1114007838 | Micheal J Deady Dds Inc | Oral & Maxillofacial Surgery | 1630 Poplar St, Terre Haute, IN 47807 | 2006-10-17 |
1316958549 | Wabash Valley Urological Assoc Inc | Specialist | 1235 Ohio Street, Terre Haute, IN 47807 | 2006-08-11 |
Find all providers in zip 47807 |
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 |
---|---|---|---|---|
1477192151 | Debra Susan Hayes | Family Medicine | 455 W Industrial Dr, Terre Haute, IN 47802-9266 | 2019-12-30 |
1407404940 | Union Associated Physicians Clinic LLC | Family Medicine | 2133 South State Road 46, Terre Haute, IN 47803 | 2019-08-28 |
1285050260 | Family Healthcare Plus LLC | Family Medicine | 5101 S Us Highway 41, Terre Haute, IN 47802-4790 | 2014-03-13 |
1942584529 | Kristina Dianne Thompson | Family Medicine | 1348 Ohio St, Suite B, Terre Haute, IN 47807-3937 | 2011-09-30 |
1609936244 | Susan S Amos | Family Medicine | 2929 S 1st St, Suite 3, Terre Haute, IN 47802-3726 | 2006-12-12 |
1831268408 | Laxma Reddy Marri | Family Medicine | 3606 S 4th St, Terre Haute, IN 47802-5543 | 2006-11-07 |
1811002587 | Hans C Andreasen | Family Medicine | 1739 N 4th St, Terre Haute, IN 47804-4002 | 2006-08-20 |
1710092689 | Elizabeth A. Mccalister | Family Medicine | 1513 N. 61/2 Street, Terre Haute, IN 47807-1039 | 2006-08-20 |
1578537056 | Steven A Mcdonald | Family Medicine | 1530 N 7th St Ste 200, Terre Haute, IN 47807 | 2006-02-14 |
1790763027 | Alohna Lawrence Morrow | Family Medicine | 2723 S 7th St Ste L, Terre Haute, IN 47802-3558 | 2006-01-06 |
Find all providers in TERRE HAUTE |
City | TERRE HAUTE |
Zip Code | 47807 |
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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.