John C Brock MD PL

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

JOHN C BROCK MD PL

Practice address

3007 W Fair Oaks Ave
Tampa, FL 33611-1640

Phone

(813) 839-6299

Fax

(813) 839-4939

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John C Brock, MDNPI 1154327393

Title

President

Phone

(813) 839-6299

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• John C Brock, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • St Petersburg, FL
  • NPI 1154327393
  NPD (past) Authorized official

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1174810162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 W FAIR OAKS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111640",
            "telephone_number": "813-839-6299",
            "fax_number": "813-839-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 W FAIR OAKS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111640",
            "telephone_number": "813-839-6299",
            "fax_number": "813-839-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C BROCK MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-839-6299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME41814",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liety Joglar Gonzalez
• Phillip Mitchell Johansen, MD
• Christian Henrik Johansson, PA-C
• John a Dietrick M D P L
• John Baker MD PA
• John Cottam MD PA
• John D Dos Passos II DMD PA
• John E Barsa, M.D., PA
• John F Altenburg MD PA (Tampa Cataract and Eye Care Center)
• John F Altenburg, MD, PA (Tampa Cataract and Eye Care Center)

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.