Brock Allen Edwards, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R163713-9 Issued in MN

Practice address

901 14TH St NW
Rochester, MN 55901-2513

Phone

(507) 358-7768

NPI assigned

Feb 22, 2009

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1235260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235260800000",
    "number": "1699915215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 14TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012513",
            "telephone_number": "507-358-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 14TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012513",
            "telephone_number": "507-358-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BROCK",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-22",
        "last_updated": "2009-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R163713-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Edquist
• Leah M Edquist, PA
• Randall S. Edson, M.D.
• Julie R Edvenson, OT
• Rachel Lauren Edvenson, APRN, CNP
• Brooks S Edwards, M.D.
• Eugene Edwards
• Holly C Edwards, MA, LPCC
• Megan Edwards, PHARMD
• Terri Beth L Edwards, MD

• Registered Nurse in Rochester, MN
• Providers in Rochester, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2009; 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.