Individual provider Active NPI

Alan Stuart Bock, M.D.

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1013025923
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15266 Issued in OK
Practice address
5401 N Portland
Suite 220
Oklahoma City, OK 73112-2082
Phone
(405) 604-4321
Fax
(405) 604-4331
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15266 OK Primary

Addresses

Primary practice location

5401 N Portland
Suite 220
Oklahoma City, OK 73112-2082

Mailing address

5401 N Portland
Suite 220
Oklahoma City, OK 73112-2082
Phone (405) 604-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111001027 OK Practitioner - Internal Medicine 4880652866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.72 of 100Reported as group
Quality
82.66
Promoting interoperability
100
Improvement activities
40
Cost
66.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15266OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists Inc Internal Medicine CurrentSince Jul 1, 1999 Accepting new patients
Infectious Disease Associates LLC Current Accepting new patients
Centennial Health, PC PastSince May 1, 1992 Accepting new patients
National Family Medical Associates, LLC Internal Medicine PastSince Feb 1, 2023 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

5700 N Portland Ave
Ste 100
Oklahoma City, OK 73112
Phone (405) 458-7162

5401 N Portland Ave
Ste 200
Oklahoma City, OK 73112

5401 N Portland Ave
Ste 220
Oklahoma City, OK 73112
Phone (405) 604-4321

Interoperability endpoints

  • Direct secure messaging: abock068@yourcarecommunity.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013025923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N PORTLAND",
            "address_2": "SUITE 220",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122082",
            "telephone_number": "405-604-4321",
            "fax_number": "405-604-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N PORTLAND",
            "address_2": "SUITE 220",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122082",
            "telephone_number": "405-604-4321",
            "fax_number": "405-604-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "ALAN",
        "middle_name": "STUART",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "15266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.