Individual provider Active NPI

Donald Thomas Brock, DO

  • Family Medicine Physician
  • Anadarko, OK
National Provider Identifier
1215977814
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3638 Issued in OK
Practice address
412 SE 11TH St
Anadarko, OK 73005-4442
Phone
(405) 247-9500
NPI assigned
Jun 8, 2006
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3638 OK Primary

Addresses

Primary practice location

412 SE 11TH St
Anadarko, OK 73005-4442

Mailing address

412 SE 11TH St
Anadarko, OK 73005
Phone (405) 247-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3638OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Hospital Authority CurrentSince Jan 10, 2023 Accepting new patients
Comanche County Hospital Authority CurrentSince Jan 10, 2023 Accepting new patients
Nemri Medical Services, Inc. Family Medicine Past Accepting new patients
Comanche County Healthcare Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients
Norman Minor Emergency of NRH Family Medicine Past Accepting new patients

Locations

1102 S Coblake St
Apache, OK 73006
Phone (580) 588-3257

513 Hillery Rd
Ste C
Comanche, OK 73529
Phone (580) 439-2000

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

5404 SW Lee Blvd
Lawton, OK 73505
Phone (580) 355-5242

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

164468 S Broadway St
Marlow, OK 73055
Phone (580) 658-9100

Interoperability endpoints

  • Direct secure messaging: donald.brock@lawtoncommunityhealthcenter.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1215977814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SE 11TH ST",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "73005",
            "telephone_number": "405-247-9500",
            "fax_number": "405-247-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 SE 11TH ST",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730054442",
            "telephone_number": "405-247-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "DONALD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anadarko, OK

Sources for this page

Verify at the official NPI Registry.