Eric Brock, MD, Orthopedic Surgery, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

N4311 Issued in TX

Legal business name

ERIC BROCK, MD, ORTHOPEDIC SURGERY, PA

Doing business as

Brock Orthopedic Surgery and Services

Practice address

715 W Hubbard St
Mineral Wells, TX 76067-4852

Phone

(940) 325-7900

Fax

(940) 325-7905

NPI assigned

Sep 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Eric Brock, MDNPI 1396938973

Title

Owner

Phone

(940) 325-7900

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Brock Orthopedic Surgery and Services Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Randall Brock, M.D.

  • Orthopaedic Surgery Physician
  • Mineral Wells, TX
  • NPI 1396938973
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1790019255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W HUBBARD ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760674852",
            "telephone_number": "940-325-7900",
            "fax_number": "940-325-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W HUBBARD ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760674852",
            "telephone_number": "940-325-7900",
            "fax_number": "940-325-7905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Santa Fe Dr Ste 113",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760865867",
            "country_code": "US",
            "telephone_number": "817-901-9923",
            "fax_number": "940-325-4280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERIC BROCK, MD, ORTHOPEDIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-325-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "N4311",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "N4311",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME-CIGNA GOVT SERVICES",
            "identifier": "6427870001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208673801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brock Orthopedic Surgery and Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brock Orthopedic Surgery and Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Henry Duesterheft, DDS
• Ruth Marie Duesterheft, MD
• Sonya Lynn Edwards, SLP-ASSISTANT
• Electromedical Products International, Inc.
• Matthew Enright, RPH
• Erwin Health Care, Inc. (Accountable Care Now)
• Terry Chris Erwin, FNP
• Amy Bridges Eswein
• Robert Larry Eswein, LSA., CSA., OPA-C
• Edmond C Evans Jr., D.O.

• Orthopaedic Surgery Physician in Mineral Wells, TX
• Providers in Mineral Wells, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.