MEGAN BROCK (NPI# 1245685866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245685866 |
| Entity Type | Individual |
| Full Name | MEGAN BROCK |
| Credential | M.D. |
| Practice Address |
Medical Center Blvd Wake Forest Baptist Medical Center, Dept of Pediatrics Winston-salem NC 27157 |
| Mailing Address |
5506 Rutledge Dr Greensboro NC 27455-1258 |
| Practice Telephone | 3367162694 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972090751 | Megan Elizabeth Brock | Physical Therapist | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2018-04-17 |
| 1275983918 | Megan Riser Brock | Occupational Therapist | 200 Natures Trl, Mc Donald, TN 37353-5172 | 2016-06-14 |
| 1073986295 | Megan Brock | Emergency Medicine | 333 Smith Ave N, Saint Paul, MN 55102 | 2015-11-10 |
| 1609842657 | Megan Brock | Physician Assistant | 123 2nd St, Columbus, IN 47201-6705 | 2006-02-28 |
| Street Address |
MEDICAL CENTER BLVD WAKE FOREST BAPTIST MEDICAL CENTER, DEPT OF PEDIATRICS |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013365758 | Trevor James Tyner | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston-salem, NC 27103 | 2016-06-02 |
| 1871961573 | Daniel Smith | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2015-09-11 |
| 1265819692 | Maria-carolina Orbay | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston-salem, NC 27103 | 2015-05-06 |
| 1053707307 | Brent Frederick | Hospitalist | Medical Center Blvd, Winston-salem, NC 27157 | 2015-04-14 |
| 1720491889 | Tiffany Earle | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston-salem, NC 27103 | 2014-06-06 |
| 1881822856 | Christopher James Edwards | Anesthesiology | Medical Center Blvd, Wake Forest University, Baptist Medical Center, Winston-salem, NC 27157 | 2009-06-29 |
| 1245408988 | Archana Manoj Shah | Anesthesiology | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2008-02-15 |
| 1962684514 | Christina Natale Condon | Nurse Practitioner | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2007-12-05 |
| 1790966356 | Hirenkumar Babubhai Patel | Pediatrics | Medical Center Blvd, Winston-salem, NC 27157-1184 | 2007-11-23 |
| 1124210950 | Daniel Edward Couture | Neurological Surgery | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2007-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1255838116 | Taylor Brooks | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Health Graduate Medical Education, Medical Center Boulevard Ground Flr Meads Hall Ste B, Winston-salem, NC 27157-0001 | 2018-04-08 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1497259675 | Joseph Hobson Gitt | Student in an Organized Health Care Education/Training Program | 1920 West First Street, Piedmont Plaza I, Winston-salem, NC 27157-1084 | 2018-03-21 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1548680366 | Thomas Elliott Pendergrast | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Medical Center Blvd., Winston-salem, NC 27157 | 2014-04-19 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27157 |
Please comment or provide details below to improve the information on MEGAN 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.