NPIMap

Organization Active NPI

David Brock DO LLC

  • Family Medicine Physician
  • London, OH
National Provider Identifier
1770764086
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-00-7161-B Issued in OH
Legal business name
DAVID BROCK DO LLC
Practice address
99 W 2ND St
London, OH 43140-1072
Phone
(740) 852-2612
NPI assigned
Nov 15, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. David Todd Brock, D.O.NPI 1225009392
Title
Physician
Phone
(614) 733-0816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-00-7161-B OH Primary

Addresses

Primary practice location

99 W 2ND St
London, OH 43140-1072

Mailing address

PO Box 723
London, OH 43140-0723
Phone (740) 852-2612

National Provider Directory

National Provider Directory

Locations

99 W 2nd St
London, OH 43140
Phone (740) 852-2612

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1770764086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 723",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431400723",
            "telephone_number": "740-852-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 W 2ND ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401072",
            "telephone_number": "740-852-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BROCK DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "614-733-0816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-7161-B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.