MATTHEW RYAN BROCK (NPI# 1275811077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275811077 |
| Entity Type | Individual |
| Full Name | MATTHEW RYAN BROCK |
| Credential | D.O. |
| Practice Address |
116 Frank Martin Rd Shelbyville TN 37160-7192 |
| Practice Telephone | 9316845554 |
| Mailing Telephone | 9316845554 |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3790 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM | 390200000X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508183948 | Matthew D. Brock | Internal Medicine | 10024 Se 32nd Ave, Milwaukie, OR 97222-6514 | 2010-04-26 |
| 1740421270 | Matthew R. Brock | Counselor | 669 S Haywood St, Waynesville, NC 28786-6703 | 2009-03-12 |
| 1831350438 | Matthew Steven Brock | Psychiatry & Neurology | 1100 Wilford Hall Loop, Bldg 4554, Aatn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 | 2008-06-17 |
| Street Address |
116 FRANK MARTIN RD |
| City | SHELBYVILLE |
| State | TN |
| Zip Code | 37160-7192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821310 | Middle Tennessee Support Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 375 Uselton Road, Shelbyville, TN 37160 | 2018-05-15 |
| 1194224998 | Stephen Blake Feldhaus | Nurse Practitioner | 112 Airport Business Park Rd, Ste H, Shelbyville, TN 37160 | 2018-02-07 |
| 1285158519 | Angelique Lynn Oliver | Case Management | 604 S. Wall St., Shelbyville, TN 37160 | 2017-07-28 |
| 1215476445 | Acts of Kindness | Home Health | 213 Lane Parkway, Shelbyville, TN 37160 | 2017-02-21 |
| 1255727681 | Nancy Elizabeth Hudson | Counselor | 117 Mcgrew Street, Shelbyville, TN 37160 | 2015-04-13 |
| 1699177956 | Shelbyville Medical Group, Pllc | Family Medicine | 221 Lane Parkway, Shelbyville, TN 37160 | 2014-09-18 |
| 1154637122 | Digestive Healthcare of Central Tennessee, Pllc | Internal Medicine | 112 Airport Business Park Drive, Suite G, Shelbyville, TN 37160 | 2010-08-27 |
| 1871791293 | Frank L Jayakody Md PC | Family Medicine | 1701 North Main St, Shelbyville, TN 37160 | 2007-07-06 |
| 1871794222 | Glen Oaks, LLC | Skilled Nursing Facility | 1101 Glenoaks Rd, Shelbyville, TN 37160 | 2007-05-31 |
| 1346459385 | Chamberland Dentistry PC | Preferred Provider Organization | 1006 Colloredo Blvd, Shelbyville, TN 37160 | 2007-05-22 |
| Find all providers in zip 37160 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699177956 | Shelbyville Medical Group, Pllc | Family Medicine | 221 Lane Parkway, Shelbyville, TN 37160 | 2014-09-18 |
| 1629314653 | Major Medical Group LLC | Family Medicine | 1626 E State Rd 44, Ste A, Shelbyville, IN 46176-4057 | 2012-12-19 |
| 1598991853 | Bridgette Loreen Carroll | Family Medicine | 865 Taylorsville Rd, Shelbyville, KY 40065-9124 | 2009-06-01 |
| 1437398492 | Major Multispecialty Associates | Family Medicine | 275 W Bassett Rd Ste 4, Shelbyville, IN 46176-8575 | 2009-02-16 |
| 1194915793 | Joseph H. Rupard, M.d., Ph.d. | Family Medicine | 883 Union St, Shelbyville, TN 37160-2607 | 2007-07-30 |
| 1871791293 | Frank L Jayakody Md PC | Family Medicine | 1701 North Main St, Shelbyville, TN 37160 | 2007-07-06 |
| 1245341403 | Samuel Paul Sells Jr. | Family Medicine | 1701 North Main Street, Suite A, Shelbyville, TN 37160 | 2006-08-31 |
| 1932214798 | Laura Lee Rife | Family Medicine | 1626 E State Road 44, Suite B, Shelbyville, IN 46176-4026 | 2006-08-20 |
| 1447288709 | William J Jackson | Family Medicine | 148 Midland Blvd, Shelbyville, KY 40065-9734 | 2006-06-28 |
| 1891739454 | Gregory Howard | Family Medicine | 157 W Washington St, Shelbyville, IN 46176-1245 | 2006-06-15 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 37160 |
Please comment or provide details below to improve the information on MATTHEW RYAN 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.