Organization Active NPI

Brock Independent School District

  • Local Education Agency (LEA)
  • Weatherford, TX
National Provider Identifier
1134486061
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
BROCK INDEPENDENT SCHOOL DISTRICT
Practice address
410 Eagle Spirit LN
Weatherford, TX 76087-5606
Phone
(817) 594-7642
NPI assigned
Apr 17, 2012
Last updated
Apr 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Authorized official

Name
Mr. Richard Tedder
Title
Superintendent
Phone
(817) 594-7642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X TX Primary

Addresses

Primary practice location

410 Eagle Spirit LN
Weatherford, TX 76087-5606

Mailing address

410 Eagle Spirit LN
Weatherford, TX 76087-5606
Phone (817) 594-7642

Other identifiers 1

IdentifierTypeStateIssuer
064903002MedicaidTX

Other names 1

  • Brock ISD Other name

National Provider Directory

National Provider Directory

Locations

410 Eagle Spirit Ln
Weatherford, TX 76087
Phone (817) 594-7642

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1134486061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 EAGLE SPIRIT LN",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760875606",
            "telephone_number": "817-594-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 EAGLE SPIRIT LN",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760875606",
            "telephone_number": "817-594-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK INDEPENDENT SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "TEDDER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "817-594-7642",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064903002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brock ISD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.