Organization Active NPI

Barry J Brock MD Inc.

  • Obstetrics & Gynecology Physician
  • Beverly Hills, CA
National Provider Identifier
1902363203
Registry record updated Feb 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BARRY J BROCK MD INC.
Practice address
421 N Rodeo Drive
Penthouse 1
Beverly Hills, CA 90210
Phone
(310) 432-6640
Fax
(610) 432-6647
NPI assigned
Feb 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2019

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

Authorized official

Name
Mr. Barry Joel Brock, MD
Title
President/Ceo
Phone
(310) 432-6640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

421 N Rodeo Drive
Penthouse 1
Beverly Hills, CA 90210

Mailing address

421 N Rodeo Drive
Penthouse 1
Beverly Hills, CA 90210
Phone (310) 432-6640

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550880000000",
    "number": "1902363203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N RODEO DRIVE",
            "address_2": "PENTHOUSE 1",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-432-6640",
            "fax_number": "610-432-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N RODEO DRIVE",
            "address_2": "PENTHOUSE 1",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-432-6640",
            "fax_number": "610-432-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY J BROCK MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-23",
        "last_updated": "2019-02-23",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-432-6640",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; 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.