Emmaleigh Brooke Bock, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

204611 Issued in LA

Practice address

7829 La Hwy 61
St. Francisville, LA 70775

Phone

(225) 635-3200

Fax

(225) 635-3201

NPI assigned

Jun 12, 2008

Last updated

Dec 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Our Lady of the Lake Physician Group LLC

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1033494943

  Pediatrics

  Medicare reassignment NPD
• Our Lady of the Lake Physician Group LLC

  dba Our Lady of the Lake Children's Health Developmental Center at McMains

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Baton Rouge, LA
  • NPI 1235912502
  NPD
• Our Lady of the Lake Physician Group LLC

  dba OLOL Physician Surgical Specialty

  • Hematology & Oncology Physician
  • Baton Rouge, LA
  • NPI 1184671455
  NPD (past)
• Woman's Hospital Foundation

  dba Woman's Hospital

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1912943184
  NPD (past)

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1730349721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-635-3200",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7829 LA HWY 61",
            "city": "ST. FRANCISVILLE",
            "state": "LA",
            "postal_code": "70775",
            "telephone_number": "225-635-3200",
            "fax_number": "225-635-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5266 Commerce St Bldg A",
            "address_purpose": "LOCATION",
            "city": "Saint Francisville",
            "state": "LA",
            "postal_code": "707754409",
            "country_code": "US",
            "telephone_number": "225-635-3811",
            "fax_number": "225-635-4491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCK",
        "first_name": "EMMALEIGH",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "204611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1082538",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Jean Bassett, R.D.
• Kara Lavontra Battley
• Tiffany Ann Beauchamp, ATC
• Ewell Bickham III
• Dewana Bobo
• Grace Ellen Burns
• Erin Lofton Cain, M.A., SLP
• Capital Area Human Services District (West Feliciana Behavioral Health CCBHC)
• Capital Area Human Services District (West Feliciana Center for Addiction Recovery)
• Charles Brent Wilson DDS LLC (St. Francisville Family Dentistry)

• Pediatrics Physician in Saint Francisville, LA
• Providers in Saint Francisville, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.