Irvin P. Brock III, M.D., P.a.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

M1535 Issued in TX

Legal business name

IRVIN P. BROCK III, M.D., P.A.

Practice address

160 Creekside Park
Suite 202
Bulverde, TX 78163

Phone

(830) 438-4788

NPI assigned

Jun 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Irvin Pete Brock III, MDNPI 1023018678

Title

President

Phone

(830) 438-4788

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irvin Pete Brock III, M.D.

  • Geriatric Psychiatry Physician
  • Fountain Hills, AZ
  • NPI 1023018678
  NPD (past) Authorized official

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033145123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 FOSSIL HILLS LOOP",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706012",
            "telephone_number": "830-885-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CREEKSIDE PARK",
            "address_2": "SUITE 202",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "78163",
            "telephone_number": "830-438-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVIN P. BROCK III, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "IRVIN",
        "authorized_official_middle_name": "PETE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-438-4788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "M1535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Ayers Holliday Jr., FNP
• Home Town Family Healthcare
• Alexa Alayne Hyde
• Innovative Dialysis Solutions at Home, PLLC
• Integrated Behavior Solutions, Inc.
• Ivgc Home Health Services LLC
• Jeffrey M Locke, LCSW, PLLC
• John C. Sykes, D.D.S., P.a. (Bulverde Hills Dental)
• Marcos Salvador Johnson, CSFA, LSA
• Kaleidoscope Speech and Language Center, LLC

• Adult Mental Health Clinic/Center in Bulverde, TX
• Providers in Bulverde, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.