Brock McConnehey, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

O207 Issued in ID

Practice address

888 N Cole Rd
Boise, ID 83704-8638

Phone

(208) 452-6794

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• McConnehey Holdings, Inc

  • Family Medicine Physician
  • Boise, ID
  • NPI 1326372715
  NPD (past) Authorized official
• Boise Dermaesthetics, LLC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1639117153
  NPD (past)
• Women'S Wellness & Aesthetics

  • Women's Health Clinical Nurse Specialist
  • Boise, ID
  • NPI 1205143120
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1285672733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048638",
            "telephone_number": "208-452-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048638",
            "telephone_number": "208-452-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNEHEY",
        "first_name": "BROCK",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Callao McColl, LCPC
• James D. McColly, M.P.A.S., PA-C
• Karen S. McConaughey, LCPC
• Samantha Emily McConaughy
• McConnehey Holdings, Inc
• Diane McConnehey, DO
• Lesa McConnel, LCSW
• Charles Benton McConnell, MA
• Mark S McConnell, MD
• Wendolyn McConnell, PHARMD

• Family Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.