WILLIAM NELSON BROCK (NPI# 1578116752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578116752 |
| Entity Type | Individual |
| Full Name | WILLIAM NELSON BROCK |
| Practice Address |
619 N Main St Muskogee OK 74401-4431 |
| Practice Telephone | 9186828407 |
| Mailing Telephone | 9186828407 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | OK | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366946576 | William M Brock | Student in an Organized Health Care Education/Training Program | 3640 High St Ste 2f, Portsmouth, VA 23707-3213 | 2018-03-21 |
| 1023195807 | William Bradford Brock | Surgery | 1589 Sparta St, Suite 105, Mc Minnville, TN 37110-1390 | 2006-11-01 |
| 1548361744 | William Michael Brock | Psychologist | 3435 Camino Del Rio S, Suite 205, San Diego, CA 92108-3902 | 2006-09-26 |
| 1891899225 | William Allen Brock | Nurse Anesthetist, Certified Registered | 3600 Darnall Loop, Carl R Darnall Army Medical Center, Fort Hood, TX 76544 | 2006-09-07 |
| 1336161520 | William David Brock | Psychologist | 1241 Mall Dr, Richmond, VA 23235-4737 | 2006-07-24 |
| 1811965460 | William A Brock | Internal Medicine | 850 Kempsville Rd, Norfolk, VA 23502-3920 | 2006-03-09 |
| Street Address |
619 N MAIN ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776547 | Amber Marie Wade | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-24 |
| 1982210159 | Dakota James Smith | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-22 |
| 1154936755 | Katelyn Davis Ryan | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-10 |
| 1316551815 | Jonathan D Collins | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-02 |
| 1689287765 | Garrett Boyce Mcguire | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-28 |
| 1124630173 | Nia Ashleigh Collins | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-20 |
| 1083226484 | Robert Samuel Stewart | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-18 |
| 1609486430 | Rebecca Nicole Smith | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-06 |
| 1336758416 | Quinton Ross IIi | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-07-24 |
| 1851900914 | Shannan Marie Loman | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467934380 | Zoe November Hall | Peer Specialist | 1217 Foxcroft Cir Apt 4, Muskogee, OK 74403-7621 | 2018-09-06 |
| 1548776156 | Markita James | Peer Specialist | 503 S 9th St, Muskogee, OK 74401-7145 | 2017-12-19 |
| 1538776547 | Amber Marie Wade | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-24 |
| 1982210159 | Dakota James Smith | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-22 |
| 1689287765 | Garrett Boyce Mcguire | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-28 |
| 1083226484 | Robert Samuel Stewart | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-18 |
| 1760007512 | Jacqueline Vernice Hopkins | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-06-08 |
| 1003442567 | Jeffery Coe | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-03-17 |
| 1245865872 | Matthew Mark Porter | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-03-04 |
| 1598399313 | Cheyenne Dawn Russell | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-03-02 |
| Find all providers in MUSKOGEE | ||||
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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.