Active NPI
E'Rika Renee Brock, D.C.
- Chiropractor
- Woodbridge, VA
National Provider Identifier
1770765323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556525
- Practice address
- 14904 Jefferson Davis Hwy
Suite 301
Woodbridge, VA 22191-3908 - Phone
- (703) 499-8840
- NPI assigned
- Dec 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556525 | VA | Primary |
Addresses
Primary practice location
14904 Jefferson Davis Hwy
Suite 301
Woodbridge, VA 22191-3908
Mailing address
14904 Jefferson Davis Hwy
Suite 301
Woodbridge, VA 22191-3908
Phone (703) 499-8840
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556525 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Family Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1770765323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14904 JEFFERSON DAVIS HWY",
"address_2": "SUITE 301",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913908",
"telephone_number": "703-499-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14904 JEFFERSON DAVIS HWY",
"address_2": "SUITE 301",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913908",
"telephone_number": "703-499-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "E'RIKA",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-05",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.