MRS. ANDREA G BROCK (NPI# 1073575908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073575908 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA G BROCK |
| Credential | PA-C |
| Practice Address |
128 Medical Park Rd Suite 101 Mooresville NC 28117-8578 |
| Practice Telephone | 7046581001 |
| Practice Fax Number | 7046581002 |
| Mailing Telephone | 7046581001 |
| Mailing Fax Number | 7046581002 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2016-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 103497 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912341009 | Andrea Brock | Neurological Surgery | 3000 N Triumph Blvd Ste 330, Lehi, UT 84043-4999 | 2013-04-19 |
| 1528504784 | Andrea Brock | Social Worker | 445 Winn Way, Decatur, GA 30030-1707 | 2017-01-12 |
| 1073945119 | Andrea Kay Brock | Nurse Practitioner | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2013-07-31 |
| 1164614616 | Andrea E Brock | Occupational Therapist | 50 E North St, Buffalo, NY 14203-1002 | 2007-08-17 |
| Street Address |
128 MEDICAL PARK RD SUITE 101 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-8578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619976479 | Sean Michael Fahey | Internal Medicine | 128 Medical Park Rd, Suite 101, Mooresville, NC 28117-8578 | 2005-07-14 |
| 1831218031 | Naomi Soroosh Simon | Dermatology | 128 Medical Park Rd, Suite 201, Mooresville, NC 28117-8578 | 2007-03-28 |
| 1881670164 | David Benjamin Konstandt | Specialist | 128 Medical Park Rd, Suite 301, Mooresville, NC 28117-8578 | 2005-12-19 |
| 1881670537 | Stewart Michael Polsky | Specialist | 128 Medical Park Rd, Suite 301, Mooresville, NC 28117-8578 | 2005-12-15 |
| 1104802859 | Michael Raymond Cram | Specialist | 128 Medical Park Rd, Suite 301, Mooresville, NC 28117-8578 | 2005-12-15 |
| 1750362950 | Manish G Patel | Family Medicine | 128 Medical Park Rd, Suite 101, Mooresville, NC 28117-8578 | 2005-11-07 |
| 1801888797 | Susan Rene Benson | Pediatrics | 128 Medical Park Rd, Ste 200, Mooresville, NC 28117-8578 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148421 | James Cameron Fields | Physician Assistant | 532 Bridgestone Dr, Mooresville, IN 46158-7304 | 2020-09-14 |
| 1679103055 | Aaron Cole Chapman | Physician Assistant | 260 Mccrary Rd, Mooresville, NC 28117-8859 | 2020-01-24 |
| 1639733017 | Margaret Ann Small | Physician Assistant | 114 Gateway Blvd Ste D, Mooresville, NC 28117-5595 | 2019-05-01 |
| 1255728044 | Veronica Bradley | Physician Assistant | 149 Plantation Ridge Dr Ste 190, Mooresville, NC 28117-9178 | 2015-04-20 |
| 1881009058 | Michelle Billups | Physician Assistant | 150 Fairview Rd Ste 230, Mooresville, NC 28117 | 2014-06-26 |
| 1770919995 | Donna Michele Forsee | Physician Assistant | 106 Corporate Park Dr Ste 200&300, Mooresville, NC 28117-7134 | 2013-09-19 |
| 1447698303 | Bradley James Hicks | Physician Assistant | 170 Medical Park Rd Ste 102, Mooresville, NC 28117-8541 | 2013-06-12 |
| 1427396886 | Kristin Nicole Oden | Physician Assistant | 106 Corporate Park Dr # 200300, Mooresville, NC 28117-7133 | 2013-01-19 |
| 1063746444 | Sarah Noelle Brandt | Physician Assistant | 123 Professional Park Dr Ste 200, Mooresville, NC 28117 | 2009-10-01 |
| 1184848137 | Michelle Elizabeth Mccracken-brown | Physician Assistant | 1000 Lowes Blvd, Mooresville, NC 28117-8520 | 2007-04-12 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
Please comment or provide details below to improve the information on MRS. ANDREA G BROCK.
| 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.