Individual provider Active NPI

Bryan Krock, PHD

  • Medical Geneticist (PhD) Specialist/Technologist
  • Phoenix, AZ
National Provider Identifier
1720999790
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Geneticist (PhD) Specialist/TechnologistTaxonomy code 246ZG1000X
Practice address
4415 E Cotton Center Blvd Ste 100
Phoenix, AZ 85040-8903
Phone
(888) 979-8669
NPI assigned
Sep 16, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Geneticist (PhD) Specialist/Technologist 246ZG1000X Primary

Addresses

Primary practice location

4415 E Cotton Center Blvd Ste 100
Phoenix, AZ 85040-8903

Mailing address

750 W John Carpenter Fwy Ste 800
Irving, TX 75039-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1720999790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W JOHN CARPENTER FWY STE 800",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 E COTTON CENTER BLVD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408903",
            "telephone_number": "888-979-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROCK",
        "first_name": "BRYAN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZG1000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Geneticist, Medical (PhD)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.