BROCK ALAN BENEDICT


Address: 300 W Hospital Rd, Augusta, GA 30905-5741
Phone: 7067879358

BROCK ALAN BENEDICT (NPI# 1689727091) 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) 1689727091
Entity Type Individual
Full Name BROCK ALAN BENEDICT
Practice Address 300 W Hospital Rd
Augusta
GA 30905-5741
Practice Telephone 7067879358
Practice Fax Number 7067879356
Mailing Telephone 7067879358
Mailing Fax Number 7067879356
Enumeration Date 2007-01-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 02003043A IN Allopathic & Osteopathic Physicians

Office Location

Street Address 300 W HOSPITAL RD
City AUGUSTA
State GA
Zip Code 30905-5741

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801059589 Kimberly Denise Fedrick Licensed Practical Nurse 300 W Hospital Rd, Augusta, GA 30905-5741 2008-07-03
1689832453 Briggitte Pierce Licensed Practical Nurse 300 W Hospital Rd, Augusta, GA 30905-5741 2008-05-29
1316113426 Arthur James Caruthers Technician, Other 300 W Hospital Rd, Eisenhower Army Medical Center, Augusta, GA 30905-5741 2008-05-08
1649443888 Melissa Marie Baklarz Registered Nurse 300 W Hospital Rd, Augusta, GA 30905-5741 2008-04-09
1285817189 James Robert Nolin Nurse Practitioner 300 W Hospital Rd, Augusta, GA 30905-5741 2007-12-13
1710030044 Nathan Andrew Marsh Orthopaedic Surgery 300 W Hospital Rd, Eisenhower Army Medical Center, Attn Credentials, Augusta, GA 30905-5741 2007-01-19
1598827438 Jacqueline F Hillesland Social Worker 300 W Hospital Rd, Eisenhower Army Medical Center, Augusta, GA 30905-5741 2006-12-15
1831251636 Sandra Jean Shelmerdine Psychiatry & Neurology 300 W Hospital Rd, Eisenhower Army Medical Center Attn Credential, Augusta, GA 30905-5741 2006-12-15
1396807681 Brenda L. Galeas Nurse Anesthetist, Certified Registered 300 W Hospital Rd, Eisenhower Amc, Augusta, GA 30905-5741 2006-12-14
1710049093 Terry Lawrence Andrews Family Medicine 300 W Hospital Rd, Eamc Attn Credentials, Augusta, GA 30905-5741 2006-12-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417508995 Priscilla Denise Brown Prosthetic/Orthotic Supplier 38200 3rd Ave, Fort Gordon, GA 30905 2019-09-25
1740754308 Patricia Lynn Blevins Nurse Practitioner 300 E Hospital Dr, Augusta, GA 30905 2019-01-17
1861971335 Isabella Anderson Dentist Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 2018-08-07
1972097426 Cortney Wolfley Student in an Organized Health Care Education/Training Program Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 2018-06-19
1003337536 David Jonathon Sabovich Dentist 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 2017-07-06
1437689411 Marcos Aranda Student in an Organized Health Care Education/Training Program General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 2017-06-13
1659809846 Brian Kevin Burke Student in an Organized Health Care Education/Training Program 300 East Hosptial Road, Fort Gordon, GA 30905 2017-06-01
1902334469 Jacqueline Renee Mulhall Student in an Organized Health Care Education/Training Program Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 2017-05-30
1750837456 Amanda R Bailey Internal Medicine 300 E. Hospital Dr., Fort Gordon, GA 30905 2016-09-01
1689120016 Thomas S Moffitt Internal Medicine Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 2016-08-26
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649889874 Kateri Jeffery Family Medicine 12 Shuman Ave Ste 3, Augusta, ME 04330-6020 2020-07-23
1548885783 Candace Clinton Family Medicine 1120 15th St # Hb4000, Augusta, GA 30912-0004 2020-06-13
1750906012 Nand Vinod Patel Family Medicine 3039 Washington Rd, Augusta, GA 30907-3829 2020-06-12
1114542396 Lauren C Robinson Family Medicine 1120 15th St # Hb3000e, Augusta, GA 30912-0004 2020-06-12
1831714211 Soren Knudsen Estvold Family Medicine 1120 15th St # Hb-4000, Augusta, GA 30912-0004 2020-06-11
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1942793005 Rebecca Tate Jones Family Medicine 1120 15th St Augusta Ga 30912, Augusta, GA 30912-0001 2018-06-12
1811480411 Sonya Janice Chelliah Family Medicine 1120 15th St # Hb3020, Augusta, GA 30912-0004 2018-06-08
1447741269 Akua E Asiamah Family Medicine 1120 15th St Augusta University, Augusta, GA 30912-0001 2018-05-29
1457766800 Susan B. Allen Memorial Hospital Family Medicine 401 W 7th Ave, Augusta, KS 67010-1309 2014-06-24
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Competitor

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City AUGUSTA
Zip Code 30905

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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.

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