Gerald N. Bock, M.D., Inc.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

G24211 Issued in CA

Legal business name

GERALD N. BOCK, M.D., INC.

Practice address

1617 Saint Marks PLZ Ste C
Stockton, CA 95207-6423

Phone

(209) 956-4260

Fax

(209) 475-6002

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gerald N. Bock, M.D.NPI 1376649269

Title

Owner

Phone

(209) 956-4260

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald N Bock, MD

  • Dermatology Physician
  • Stockton, CA
  • NPI 1376649269
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407919467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 SAINT MARKS PLZ STE C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076423",
            "telephone_number": "209-956-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 SAINT MARKS PLZ STE C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076423",
            "telephone_number": "209-956-4260",
            "fax_number": "209-475-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD N. BOCK, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-956-4260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G24211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G242110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey George
• Biobele Georgewill
• Rami Georgies, M.D.
• Alexa M Georgiev
• Shaun Michael Gepley
• Michael Gerami
• Anne Gerber
• Geriatrics Long Term Care Medical Corporation
• Zoe 'Jace' Germano
• Heidi Germino

• MOHS-Micrographic Surgery Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.