Robert J Brock Md Pa

LBN: Robert J Brock Md Pa
Robert J Brock Md Pa is an health care organization with primary practice located at 2420 East 25Th Circle Suite B, Idaho Falls ID 83404-7549. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Robert J Brock Md Pa can be contacted via phone (208) 525-3220, or through Brock, Robert J via phone (208) 525-3220.

Contact Information

Primary practice address
2420 East 25Th Circle Suite B Idaho Falls ID 83404-7549
Phone: (208) 525-3220
Fax: (208) 525-3227
Website:
Map and Directions
Authorized official contact:
Name: Brock, Robert J Doctor of Medicine (MD)
Phone: (208) 525-3220

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X M7908 Idaho

Profile Details

NPI number 1972643997
LBN Legal business name Robert J Brock Md Pa
DBA Doing business as
Authorized official Brock, Robert J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Dec 3rd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972643997 NPPES
Idaho MEDICAID 8055716000

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