WADE DALE BROCK


Address: 9800 Baptist Health Dr Ste 500, Little Rock, AR 72205-6243
Phone: 5012232244

WADE DALE BROCK (NPI# 1609885805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609885805
Entity Type Individual
Full Name WADE DALE BROCK
Credential MD
Practice Address 9800 Baptist Health Dr Ste 500
Little Rock
AR 72205-6243
Mailing Address 9800 Lile Dr
Suite 500
Little Rock
AR 72205-6229
Practice Telephone 5012232244
Practice Fax Number 5012232231
Mailing Telephone 5012232244
Mailing Fax Number 5012232231
Enumeration Date 2006-08-05
Last Update Date 2017-12-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207WX0200X Ophthalmology
Specialization: Ophthalmic Plastic and Reconstructive Surgery
E2380 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 154129001 05
AR RAILROAD MEDICARE DE6376 01

Office Location

Street Address 9800 BAPTIST HEALTH DR STE 500
City LITTLE ROCK
State AR
Zip Code 72205-6243

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396852901 Arkansas Oculoplastic Surgery, Pllc Ophthalmology 9800 Baptist Health Dr Ste 500, Little Rock, AR 72205-6243 2006-08-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932719465 Darleisha Renee Stigall Behavior Technician 1210 Aldersdate Rd, Little Rock, AR 72205 2020-08-10
1316563638 Unknown Amisha Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 2020-06-23
1225667272 Ann-marie Frances Hayre Student in an Organized Health Care Education/Training Program 4310 West Markham, Slot 589, Little Rock, AR 72205 2020-04-02
1952930075 Alexandria Leigh Smith Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot 531, Little Rock, AR 72205 2020-04-02
1093353922 Phil Fagala Pharmacist 614 North Beechwood, Little Rock, AR 72205 2019-12-10
1295391688 Home To Community Living, Inc Physical Therapist 10201 W Markham Street Pulaski, Little Rock, AR 72205 2019-05-12
1669933693 Sandy Louise Webb Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 530, Little Rock, AR 72205 2019-03-31
1457812828 Vincent Battafarano Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 602, Little Rock, AR 72205 2019-03-28
1063978922 Franks Pediatric Occupational Therapy LLC Occupational Therapist 5516 C St, Little Rock, AR 72205 2019-02-15
1497210199 Integrative Counseling Center LLC Counselor 10515 W Markham St Ste D3, Little Rock, AR 72205 2019-02-06
Find all providers in zip 72205

Taxonomy Information

Taxonomy Code 207WX0200X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Ophthalmic Plastic and Reconstructive Surgery

Taxonomy Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912906876 Jennifer Trew Scruggs Ophthalmology 9800 Baptist Health Dr, Suite 600, Little Rock, AR 72205-6229 2005-07-21
1396852901 Arkansas Oculoplastic Surgery, Pllc Ophthalmology 9800 Baptist Health Dr Ste 500, Little Rock, AR 72205-6243 2006-08-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093338030 Natural State Aesthetics Pllc Ophthalmology 613 N Willow Ave, Fayetteville, AR 72701-3550 2020-05-26

Competitor

Search similar providers

City LITTLE ROCK
Zip Code 72205

Improve Information

Please comment or provide details below to improve the information on WADE DALE BROCK.

Dataset Information

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.

Trending Searches