Active NPI
Brian T Bock, D.O.
- Family Medicine Physician
- Harleysville, PA
National Provider Identifier
1790720928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS006152-L
- Practice address
- 658 Harleysville Pike
Suite 120
Harleysville, PA 19438-2824 - Phone
- (215) 256-9655
- Fax
- (215) 256-9868
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS006152-L | PA | Primary |
Addresses
Primary practice location
658 Harleysville Pike
Suite 120
Harleysville, PA 19438-2824
Mailing address
658 Harleysville Pike
Suite 120
Harleysville, PA 19438-2824
Phone (215) 256-9655
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1197049 | Other | PA | CIGNA |
| 0299249000 | Other | PA | KEYSTONE |
| 4216167 | Other | PA | AETNA |
| B0114016 | Other | PA | BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS006152-L | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790720928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "658 HARLEYSVILLE PIKE",
"address_2": "SUITE 120",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194382824",
"telephone_number": "215-256-9655",
"fax_number": "215-256-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "658 HARLEYSVILLE PIKE",
"address_2": "SUITE 120",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194382824",
"telephone_number": "215-256-9655",
"fax_number": "215-256-9868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCK",
"first_name": "BRIAN",
"middle_name": "T",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS006152-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1197049",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0299249000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4216167",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "B0114016",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harleysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.