Jeremy Brock, RRT, RCP

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

76227 Issued in TX

Practice address

8415 Datapoint Dr.
Parallon Workforce Management Solutions
San Antonio, TX 78229

Phone

(210) 593-0570

NPI assigned

Jun 30, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other names 1

• Jeremy Brock Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1962817841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PHEASANT RIDGE DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886563",
            "telephone_number": "478-955-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 DATAPOINT DR.",
            "address_2": "PARALLON WORKFORCE MANAGEMENT SOLUTIONS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-593-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "JEREMY",
        "credential": "RRT, RCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "TX",
            "license": "76227",
            "primary": true
        },
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "TX",
            "license": "76627",
            "primary": false
        },
        {
            "code": "2279E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Emergency Care",
            "state": "TX",
            "license": "76227",
            "primary": false
        },
        {
            "code": "2279E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": "TX",
            "license": "76227",
            "primary": false
        },
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "TX",
            "license": "76227",
            "primary": false
        },
        {
            "code": "2279P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "TX",
            "license": "76227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEREMY",
            "last_name": "BROCK",
            "credential": "RRT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Broadway Convalescent Center, L.P.
• Broadway Healthcare LLC
• Broadway Pediatric Dentistry, PLLC
• Broadway Vascular PLLC
• Demonica Ann Broadway, LMSW
• Joi Raye Brock, LM, CPM, LMT
• Kaleece E Brock
• Kan'Dace Len Brock, LMSW
• Mary Louise Brock, RPH
• Patrick Brockert

• Registered Respiratory Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Respiratory Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.