Robert J Brock MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

7758A Issued in WY

Legal business name

ROBERT J BROCK MD PC

Practice address

480 S Cache
Jackson, WY 83001-0941

Phone

(307) 733-8333

Fax

(307) 733-7929

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Robert James Brock, M.D.

Title

President

Phone

(307) 733-8333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1689854523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941",
            "address_2": "480 S CACHE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830010941",
            "telephone_number": "307-733-8333",
            "fax_number": "307-733-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 S CACHE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830010941",
            "telephone_number": "307-733-8333",
            "fax_number": "307-733-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J BROCK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-733-8333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "7758A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Jackson, WY
• Providers in Jackson, WY by specialty
• Psychiatry Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.