BROCK DUPREE WILSON (NPI# 1740609486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740609486 |
| Entity Type | Individual |
| Full Name | BROCK DUPREE WILSON |
| Credential | DO |
| Practice Address |
7001 Rogers Ave Ste 403 Fort Smith AR 72903 |
| Mailing Address |
Po Box 776075 Chicago IL 60677-6075 |
| Practice Telephone | 4797852229 |
| Mailing Telephone | 4797852229 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2018-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | E-11321 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982926044 | Brock M Wilson | Pharmacist | 2515 Erie Blvd E, Syracuse, NY 13224-1109 | 2010-02-17 |
| Street Address |
7001 ROGERS AVE STE 403 |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245659002 | Lisa S Newton | Obstetrics & Gynecology | 7001 Rogers Ave Ste 403, Fort Smith, AR 72903 | 2014-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740673565 | Anne Bowes | Obstetrics & Gynecology | 1500 Dodson Ave Ste 230, Fort Smith, AR 72901-5179 | 2015-03-18 |
| 1093844086 | Thomas R Wood | Obstetrics & Gynecology | 7001 Rogers Ave Ste 502, Fort Smith, AR 72903-4041 | 2007-03-05 |
| 1205878113 | Andrew Balford Riche | Obstetrics & Gynecology | 3224 S 70th St, Fort Smith, AR 72903-5050 | 2006-06-12 |
| 1760484117 | David Bruce Glover | Obstetrics & Gynecology | 7303 Rogers Ave, Suite 302, Fort Smith, AR 72903-4165 | 2005-08-15 |
| 1699254359 | Baptist Health Services | Obstetrics & Gynecology | 1500 Dodson Ave Ste 230, Fort Smith, AR 72901 | 2018-08-13 |
| 1245659002 | Lisa S Newton | Obstetrics & Gynecology | 7001 Rogers Ave Ste 403, Fort Smith, AR 72903 | 2014-04-09 |
| 1225161599 | Center for Womens Health | Obstetrics & Gynecology | 3224 S 70th St, Fort Smith, AR 72903-5050 | 2007-03-14 |
| 1578572913 | Stephen E Torres | Obstetrics & Gynecology | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-08-05 |
| 1578586376 | John David Mcclanahan | Obstetrics & Gynecology | 3224 S 70th St, Fort Smith, AR 72903-5050 | 2006-07-25 |
| 1588686943 | Don R Phillips | Obstetrics & Gynecology | 3224 S 70th St, Fort Smith, AR 72903-5050 | 2006-07-24 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
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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.