Active NPI
David A Westbrock, MD
- Endocrinology, Diabetes & Metabolism Physician
- Beavercreek, OH
National Provider Identifier
1801907803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 35-035161
- Practice address
- 2510 Commons Blvd
Suite 210
Beavercreek, OH 45431-3820 - Phone
- (937) 429-0607
- Fax
- (937) 558-3067
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 35-035161 | OH | Primary |
Addresses
Primary practice location
2510 Commons Blvd
Suite 210
Beavercreek, OH 45431-3820
Mailing address
2510 Commons Blvd
Suite 210
Beavercreek, OH 45431-3820
Phone (937) 429-0607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0257074 | Medicaid | OH |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-035161 | OH | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | 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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1801907803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 COMMONS BLVD",
"address_2": "SUITE 210",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454313820",
"telephone_number": "937-429-0607",
"fax_number": "937-558-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 COMMONS BLVD",
"address_2": "SUITE 210",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454313820",
"telephone_number": "937-429-0607",
"fax_number": "937-558-3067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTBROCK",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "OH",
"license": "35-035161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0257074",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.