Ian Leonard Brock, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

3018 Issued in MA

Practice address

182 Main St
Watertown, MA 02472-4409

Phone

(617) 924-8558

NPI assigned

Feb 20, 2007

Last updated

Aug 27, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Main Street Chiropractic

  • Chiropractor
  • Watertown, MA
  • NPI 1558532697
  NPD (past) Authorized official
• Main Street Chiropractic, LLC

  • Chiropractor
  • Watertown, MA
  • NPI 1396958898
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1811032972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 MAIN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724409",
            "telephone_number": "617-924-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 MAIN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724409",
            "telephone_number": "617-924-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "IAN",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "MA",
            "license": "3018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Bravo
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• Brigham House Assisted Living
• Linda Starr Britte, M.ED.
• Nicole Brocious
• Heather Brooks
• Allen James Brown, PH.D.
• James R. Brown, PT
• Sophia Eh Brown
• Kevin L Browne, P.T.

• Internist Chiropractor in Watertown, MA
• Providers in Watertown, MA by specialty
• Internist Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.