Brock L Mitchell (NPI# 1790835221, PAC ID# 2860639341) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1790835221 |
| PAC ID by PECOS | 2860639341 |
| Professional Enrollment ID | I20130501000386 |
| Full Name | Brock L Mitchell |
| Organization Legal Name | ADVANCE HANNIBAL REGIONAL HOSPITAL LLC |
| Address |
710 S Business 61 Suite 100 Bowling Green MO 63334-5239 |
| Phone Number | 5733246079 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6709022122 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 710 S Business, 61 Suite 100, Bowling Green, MO 63334-5239 | 5733246079 | ADVANCE HANNIBAL REGIONAL HOSPITAL LLC |
| 188 Medical Dr, Suite A, Hannibal, MO 63401-6877 | 5734060576 | ADVANCE HANNIBAL REGIONAL HOSPITAL LLC |
| Organization Legal Name | ADVANCE HANNIBAL REGIONAL HOSPITAL LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan Bradley Fohey | Physical Therapy | Advance Hannibal Regional Hospital LLC | 710 S Business, 61 Suite 100, Bowling Green, MO 63334-5239 |
| Jailynn N Francisco | Physical Therapy | Advance Hannibal Regional Hospital LLC | 3652 Stardust Dr, Hannibal, MO 63401-6212 |
| Katie M Schroeder | Physical Therapy | Advance Hannibal Regional Hospital LLC | 821 Us Hwy 24/36 E, Monroe City, MO 63456-1470 |
| Jessica L Graf | Physical Therapy | Advance Hannibal Regional Hospital LLC | 55 Troy Sq, Troy, MO 63379-3108 |
| Brittany Albers | Physical Therapy | Advance Hannibal Regional Hospital LLC | 188 Medical Dr, Suite A, Hannibal, MO 63401-6877 |
| Kenneth Whittaker | Physical Therapy | Advance Hannibal Regional Hospital LLC | 188 Medical Dr, Suite A, Hannibal, MO 63401-6877 |
| Lindsay L Benson Thome | Physical Therapy | Advance Hannibal Regional Hospital LLC | 3652 Stardust Dr, Hannibal, MO 63401-6212 |
| Chad D Falconer | Physical Therapy | Advance Hannibal Regional Hospital LLC | 188 Medical Dr, Suite A, Hannibal, MO 63401-6877 |
| Heather E Ludwig | Physical Therapy | Advance Hannibal Regional Hospital LLC | 710 S Business, 61 Suite 100, Bowling Green, MO 63334-5239 |
| Ashley M Gaines | Physical Therapy | Advance Hannibal Regional Hospital LLC | 188 Medical Dr, Suite A, Hannibal, MO 63401-6877 |
| Street Address |
710 S BUSINESS 61 SUITE 100 |
| City | BOWLING GREEN |
| State | MO |
| Zip | 63334-5239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan Bradley Fohey | Physical Therapy | Advance Hannibal Regional Hospital LLC | 710 S Business, 61 Suite 100, Bowling Green, MO 63334-5239 |
| Brian M Hoselton | Chiropractic | 710 S Business, Suite 54, Fulton, MO 65251-1403 | |
| Heather E Ludwig | Physical Therapy | Advance Hannibal Regional Hospital LLC | 710 S Business, 61 Suite 100, Bowling Green, MO 63334-5239 |
| Macy Nikole Huber | Physical Therapy | Advance Hannibal Regional Hospital LLC | 710 S Business, 61 Suite 100, Bowling Green, MO 63334-5239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Friedersdorf | Podiatry | Hannibal Clinic Operations, LLC | 710 Business Hwy 615, Bowling Green, MO 63334 |
| Janet K Myers | Family Practice | Hannibal Clinic Operations LLC | 710 Business Hwy 615, Bowling Green, MO 63334 |
| L Shane Hart | Chiropractic | 300 W Main St, Bowling Green, MO 63334-1561 | |
| Anita J Huber | Chiropractic | 310 S Business Hwy 61, Bowling Green, MO 63334-1905 | |
| Howard Jay Schneider | Family Practice | Pike County Memorial Hospital | 1015 W Adams St, Bowling Green, MO 63334-1974 |
| Gale M Schlogl | Nurse Practitioner | Hannibal Regional Healthcare System Inc | 905 Business Hwy 161 S, Hannibal, MO 63334-2000 |
| Patricia S Rose Liana | Nurse Practitioner | Bgmg Corporation | 905 Hwy 161, Bowling Green, MO 63334-2431 |
| Denise Laverne Foster | Physician Assistant | Bgmg Corporation | 905 Hwy 161, Bowling Green, MO 63334-2431 |
| Amy E Etsell | Physician Assistant | Bgmg Corporation | 905 Hwy 161, Bowling Green, MO 63334-2431 |
| Gene P Smith | Family Medicine | Bgmg Corporation | 905 Hwy 161, Bowling Green, MO 63334-2431 |
| Find all physicians in zip 63334 | |||
| City | BOWLING GREEN |
| Zip Code | 63334 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BOWLING GREEN + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Brock L Mitchell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.