NPIMap

Organization Active NPI

Brock Pain Medicine and Anesthesia

  • Pain Medicine (Anesthesiology) Physician
  • McKinney, TX
National Provider Identifier
1144851122
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
BROCK PAIN MEDICINE AND ANESTHESIA
Practice address
8000 Eldorado Pkwy Ste a
McKinney, TX 75070-4136
Phone
(469) 742-9950
Fax
(972) 548-9005
NPI assigned
Jan 29, 2020
Last updated
Jan 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Dana Froberg
Title
Admin
Phone
(469) 742-9950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

8000 Eldorado Pkwy Ste a
McKinney, TX 75070-4136

Mailing address

8000 Eldorado Pkwy Ste a
McKinney, TX 75070-4136
Phone (469) 742-9950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200320002037 TX Part B Supplier - Clinic/Group Practice 7911335138 Receives reassigned benefits from 9 practitioners
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

8000 Eldorado Pkwy
Bldg C
McKinney, TX 75070
Phone (469) 296-1049

Practitioners & affiliated clinicians

Practitioners 9

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": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1144851122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 ELDORADO PKWY STE A",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704136",
            "telephone_number": "469-742-9950",
            "fax_number": "972-548-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 ELDORADO PKWY STE A",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704136",
            "telephone_number": "469-742-9950",
            "fax_number": "972-548-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK PAIN MEDICINE AND ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "FROBERG",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "469-742-9950"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.