Naomi Bock, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

034543 Issued in GA

Practice address

335 W Ponce de Leon Ave Unit 501
Decatur, GA 30030-2456

Phone

(404) 432-5601

NPI assigned

Dec 16, 2013

Sex

Female

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1376964593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W PONCE DE LEON AVE UNIT 501",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302456",
            "telephone_number": "404-432-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W PONCE DE LEON AVE UNIT 501",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302456",
            "telephone_number": "404-432-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "034543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willerdine Blue
• Blueprint Therapeutic Services, LLC
• Jillian Blum, LPC
• Ryan Blum
• Kathryn Lynne Bobowski, LPC
• Cynthia Lee Bockwitz, LPC, CPCS, RPT-S
• Milton Derrick Boden, M.D.
• Paulette J. Boggs
• Garfield Bogues, RRT
• Ruth Houck Bohrer, APRN-PMH, BC

• Internal Medicine Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.