Active NPI
Donald Thomas Brock, DO
- Family Medicine Physician
- Anadarko, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3638
- Practice address
- 412 SE 11TH St
Anadarko, OK 73005-4442 - Phone
- (405) 247-9500
- NPI assigned
- Jun 8, 2006
- Last updated
- Sep 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3638 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Hospital Authority | Current | Accepting new patients | |
| Comanche County Hospital Authority | Current | 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
- 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.
-
dba Great Plains Pharmacy
- Community/Retail Pharmacy
- Lawton, OK
- NPI 1427130947
-
dba Lawton Community Health Center
- Federally Qualified Health Center (FQHC)
- Lawton, OK
- NPI 1588832869
-
dba Comanche County Wound Care Center
- Surgery Physician
- Lawton, OK
- NPI 1285651232
-
dba Comanche County Memorial Hospital
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
- Family Medicine Physician
- Lindsay, OK
- NPI 1114040219
-
dba NRH Urgent Care Center
- Family Medicine Physician
- Norman, OK
- NPI 1891744785
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.