Brock W Dudley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

35222 Issued in CA

Practice address

1011 Rancho Conejo Blvd
Thousand Oaks, CA 91320-1718

Phone

(951) 595-2281

NPI assigned

Apr 3, 2024

Sex

Male

Sole proprietor

No

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

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Body Dynamix Integrated Sports Medicine, Inc

  • Physical Medicine & Rehabilitation Physician
  • Tarzana, CA
  • NPI 1912386376
  NPD (past)

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1649022427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 LAS POSAS CIR",
            "city": "SANTA ROSA VALLEY",
            "state": "CA",
            "postal_code": "930128211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 RANCHO CONEJO BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913201718",
            "telephone_number": "951-595-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "BROCK",
        "middle_name": "W",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "35222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey V Drew, M.D.
• Robert Barry Drezner, PH.D
• DRMC Inc.
• DRS Griffith and Hamlet Optometrists
• Maria Dubovitskaya, MD
• Paul L. Dudley, M.D.
• Quinn Sierra Dudley
• Revital Duer, PT
• Jean Marie Duffy, D. C.
• Shannon E. Duncan, BCBA

• Chiropractor in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.