IRVIN P. BROCK III, M.D., P.A. (NPI# 1033145123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033145123 |
Entity Type | Organization |
Organization Name | IRVIN P. BROCK III, M.D., P.A. |
Practice Address |
160 Creekside Park Suite 202 Bulverde TX 78163 |
Mailing Address |
320 Fossil Hills Loop Spring Branch TX 78070-6012 |
Practice Telephone | 8304384788 |
Mailing Telephone | 8308852193 |
Enumeration Date | 2006-06-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. IRVIN PETE BROCK III (PRESIDENT) |
Authorized Official Telephone | 8304384788 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
M1535 | TX | Ambulatory Health Care Facilities |
Street Address |
160 CREEKSIDE PARK SUITE 202 |
City | BULVERDE |
State | TX |
Zip Code | 78163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033710488 | Angela Renee Aston | Nurse Practitioner | 805 Kelly Creek, Bulverde, TX 78163 | 2020-11-03 |
1992262182 | Millennium Dental | Clinic/Center | 30070 Hwy 281 North, Suite 200, Bulverde, TX 78163 | 2019-02-25 |
1386142768 | Bulverde Point Dental, Pllc | Dentist | 30745 N Hwy 281, Suite 103, Bulverde, TX 78163 | 2018-01-31 |
1386872224 | American D.m.e. | Durable Medical Equipment & Medical Supplies | 31199 Beck Rd, San Antonio, TX 78163 | 2009-06-30 |
1104050061 | Claudio Constantino Toledo | Emergency Medicine | 19851 Highway 46 W, Ste 201, Spring Branch, TX 78163 | 2009-05-07 |
1285842674 | Scott Gorden Stafford Dds PC | Dentist | 30695 North Highway 281, Bulverde, TX 78163 | 2007-05-18 |
1750410270 | Glen I. Feinstein, Md, Pa | Specialist | 32665 Highway 281 N, Suite 210, Bulverde, TX 78163 | 2007-03-02 |
1134290489 | Leoncio Garza | Dentist | 30070 Hwy 281, Suite 200, Bulverde, TX 78163 | 2006-11-10 |
1235231507 | Jason Richard Hahn | Chiropractor | 32635 Hwy 281 North, #100, Bulverde, TX 78163 | 2006-09-05 |
1932104916 | Chanel Janes Wilkinson | Nurse Practitioner | 32665 Hwy281 N, Ste 100, Bulverde, TX 78163 | 2005-06-16 |
Find all providers in zip 78163 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.