Brock Baumgarn, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC3612 Issued in TN

Practice address

1265 Interstate Dr Ste B201B
Cookeville, TN 38501-5195

Phone

(931) 854-9254

NPI assigned

Jul 27, 2022

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1689300071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 W NETHERLAND RD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385069031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 INTERSTATE DR STE B201B",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015195",
            "telephone_number": "931-854-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARN",
        "first_name": "BROCK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC3612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Barrett, LPC
• William Edward Barrett, D.C.
• Sierra Baye Bateman, PT, DPT
• James Howard Batson, M.D.
• Mariano F Battaglia, M.D
• Santhoshi Rupa Bavi, MD
• Carol A Baxter, DDS
• Felisha Gabrielle Baxter, LPC
• Erica Kathleen Bean, FNP-C
• Jeanna D Bean

• All providers in Cookeville, TN
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.