CHASE BROCK (NPI# 1053844944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053844944 |
| Entity Type | Individual |
| Full Name | CHASE BROCK |
| Credential | M.D. |
| Practice Address |
3960 Virginia Beach Blvd Virginia Beach VA 23452-2449 |
| Mailing Address |
2025 Waymart Ct Virginia Beach VA 23464-8695 |
| Practice Telephone | 7576684648 |
| Mailing Telephone | 8062208153 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101269636 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3960 VIRGINIA BEACH BLVD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144568577 | Kristin Elizabeth Herbert | Anesthesiology | 3960 Virginia Beach Blvd, Virginia Beach, VA 23452 | 2013-01-18 |
| 1619583796 | Maia L Palma | Physician Assistant | 3960 Virginia Beach Blvd, Virginia Beach, VA 23452-2449 | 2020-09-23 |
| 1033778618 | Katherine Nguyen | Physician Assistant | 3960 Virginia Beach Blvd, Virginia Beach, VA 23452-2449 | 2019-06-07 |
| 1114458882 | Danielle Rebecca Millspaugh | Nurse Practitioner | 3960 Virginia Beach Blvd, Virginia Beach, VA 23452-2449 | 2017-03-24 |
| 1932551496 | Childrens Hospital of The Kings Daughters Inc | Clinic/Center | 3960 Virginia Beach Blvd, Virginia Beach, VA 23452-2449 | 2016-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629428560 | Daniel Garcia | Pediatrics | 1924 Landstown Centre Way, Virginia Beach, VA 23456-1624 | 2016-06-21 |
| 1740546134 | Partners In Pediatric Care, P.C. | Pediatrics | 324 Louisa Ave Ste 118, Virginia Beach, VA 23454-4669 | 2012-04-10 |
| 1780906479 | Isaac G. Doron | Pediatrics | 117 66th St, Virginia Beach, VA 23451-2016 | 2010-02-22 |
| 1063612554 | Valeria Noelia Higinio | Pediatrics | 2088 Princess Anne Rd, Virginia Beach, VA 23456-4014 | 2007-07-23 |
| 1508903550 | Joseph W Familant | Pediatrics | 5700 Thurston Ave Ste 107, Virginia Beach, VA 23455-3302 | 2007-01-31 |
| 1649325242 | Childrens Medical Group Inc | Pediatrics | 4505 Columbus St Ste 250, Virginia Beach, VA 23462-5011 | 2007-01-24 |
| 1265517627 | Maria Teresa Josefa Tomas Torralba | Pediatrics | 804 Perez Ct, Virginia Beach, VA 23456-6730 | 2006-10-26 |
| 1548201973 | Megan K Bazil | Pediatrics | 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908 | 2006-06-09 |
| 1700844016 | Laura Alois Charette | Pediatrics | 2021 Concert Dr, Suite 202, Virginia Beach, VA 23456-8082 | 2006-05-03 |
| 1154382018 | Ghazala Y Khan | Pediatrics | 4221 Pleasant Valley Rd, Suite 114, Virginia Beach, VA 23464-8519 | 2006-03-30 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
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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.