William Bradford Brock

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WILLIAM BRADFORD BROCK

Doing business as

William Bradford Brock, M.D.

Practice address

1589 Sparta St Ste 105
McMinnville, TN 37110-1392

Phone

(931) 815-3636

Fax

(931) 815-3808

NPI assigned

Jan 5, 2023

Organization subpart

No

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

Authorized official

Name

Jill Davenport

Title

Practice Manager

Phone

(843) 610-6726

Specialties & licenses 1

Addresses

Other names 1

• William Bradford Brock, M.D. Doing business as

Locations

Practitioners 1

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

• William Bradford Brock, M.D.

  • Surgery Physician
  • McMinnville, TN
  • NPI 1023195807
  NPD (past)

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1689387623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SPARTA ST STE 105",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101392",
            "telephone_number": "931-815-3636",
            "fax_number": "931-815-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1589 SPARTA ST STE 105",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101392",
            "telephone_number": "931-815-3636",
            "fax_number": "931-815-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BRADFORD BROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "843-610-6726"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William Bradford Brock, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Robin Whaley, FNP
• Laura Anne White, RN
• Shawn Michael Whitfield, FNP-C
• Elizabeth Ann Wilder, FNP-C
• Willa Tree Connections, PLLC
• Allison Baylee Williams, M.S., CCC-SLP
• Jonathan Williams, LPC-MHSP
• Patricia Williams
• Martha Willis, DPT
• Alison Wilson, DDS

• Surgery Physician in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.