BROCK EUGENE BOEHM (NPI# 1700299773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700299773 |
| Entity Type | Individual |
| Full Name | BROCK EUGENE BOEHM |
| Credential | D.O. |
| Practice Address |
36000 Darnall Loop Carl R. Darnall Army Medical Center Fort Hood TX 76544 |
| Practice Telephone | 2542888888 |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2015-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0102204301 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
36000 DARNALL LOOP CARL R. DARNALL ARMY MEDICAL CENTER |
| City | FORT HOOD |
| State | TX |
| Zip Code | 76544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253828 | Erin Michelle Hall | Physician Assistant | 36000 Darnall Loop, Carl R Darnall Amc, Fort Hood, TX 76544 | 2005-05-31 |
| 1194337154 | Chisa C Martin | Nurse Practitioner | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-08-20 |
| 1114537487 | Richard William Andreasen Jr. | Dentist | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-08-03 |
| 1093341919 | Jennifer Marie Pena | Physician Assistant | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-03-23 |
| 1497301691 | Jason Michael Fackender | Dentist | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2019-08-13 |
| 1801373774 | Joshua Schaepe | Dentist | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2018-07-24 |
| 1477039840 | Carl R Darnall Army Medical Center | Clinic/Center | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2018-07-18 |
| 1881182848 | Somer Jean Welch | Social Worker | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2018-04-25 |
| 1760919609 | Qwanquita Teressa Wright | Social Worker | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2017-05-22 |
| 1609228485 | Kristina E Thompson | General Practice | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626429 | Gilberto Rolando Nunez | Dental Hygienist | Dentac Fort Hood, 68th Street Bldg. 4431, Fort Hood, TX 76544 | 2020-10-09 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1598377095 | Stephen Doh | Dentist | 23rd St &, Old Battalion Ave, Fort Hood, TX 76544 | 2020-08-18 |
| 1265041602 | Jamie Gregory | Registered Nurse | Building 33003 Battalion Ave, Fort Hood, TX 76544 | 2020-07-30 |
| 1013525559 | Danielle Robbins | Social Worker | 2255 761st Tank Battalion, Fort Hood, TX 76544 | 2020-07-21 |
| 1811530397 | Keven Faust | Physician Assistant | Carl R Darnell Army Medical Center, 36065 Sante Fe Ave, Fort Hood, TX 76544 | 2019-10-28 |
| 1760024483 | Whitney C Weatherall | Licensed Vocational Nurse | 5458 Hughes St Unit 2, Fort Hood, TX 76544 | 2019-10-14 |
| 1982255436 | Rojalina Nayak | Dentist | Building 4250 Clear Creek Road, Ste #213, Fort Hood, TX 76544 | 2019-09-26 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1881247864 | Melissa Ann Marcelli-flint | Social Worker | 21011 Old Ironsides Avenue, Fort Hood, TX 76544 | 2019-07-19 |
| Find all providers in zip 76544 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508326141 | Devin Jagow | General Practice | 36000 Darnall Loop # 5w, Fort Hood, TX 76544-5095 | 2019-03-20 |
| 1477913747 | Shay Hartvickson | General Practice | Building 7015 Murphy Loop, Hood Army Airfield, Fort Hood, TX 76544-1000 | 2016-03-01 |
| 1760809891 | Amanda Lezanski-gujda | General Practice | Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544-4752 | 2014-03-26 |
| 1538638143 | Dean Miller | General Practice | Thomas Moore Clinic, 2245 761st Tank Battalion Avenue, Fort Hood, TX 76544 | 2018-11-13 |
| 1700378635 | Andrew Mark Glenn | General Practice | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2018-06-06 |
| 1669972154 | Taylor Francis Guinan | General Practice | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2018-02-20 |
| 1972031888 | Thomas Gilder | General Practice | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2017-05-23 |
| 1699202820 | David A Szink | General Practice | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2017-05-18 |
| 1609228485 | Kristina E Thompson | General Practice | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2016-07-06 |
| 1083077069 | Grace Baik | General Practice | Carl R. Darnall Army Medical Center, 36065 Santa Fe Ave, Fort Hood, TX 76544 | 2016-03-29 |
| Find all providers in FORT HOOD | ||||
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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.