Brock S Frear DC PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BROCK S FREAR DC PLLC

Practice address

11621 S Cleveland Ave Ste 80
Fort Myers, FL 33907-2866

Phone

(239) 690-7794

NPI assigned

Oct 30, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Brock S Frear, DC

Title

Owner

Phone

(239) 690-7794

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1093282816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11621 S CLEVELAND AVE STE 80",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072866",
            "telephone_number": "239-690-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11621 S CLEVELAND AVE STE 80",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072866",
            "telephone_number": "239-690-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK S FREAR DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "FREAR",
        "authorized_official_first_name": "BROCK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-690-7794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Brist, PA
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• Gabriel Broche, DMD
• Ann V Brock, P.A.
• Gabriella Brock, PHARM.D.
• Aaron Daniel Broderick, D.M.D.
• Anne Lindsey Broderick, D.M.D
• Margarita Brodskaya, FNP

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.