# BROCK S CUMMINGS MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306001078
- **Authorized official:** BROCK S CUMMINGS MD (PRESIDENT)
- **Authorized official phone:** (530) 332-6045

## Contact information

- **Practice address:** 251 COHASSET RD STE 130, CHICO, CA 95926-2235
- **Practice address phone:** (530) 332-6045
- **Mailing address:** 251 COHASSET RD STE 130, CHICO, CA 95926-2235
- **Mailing address phone:** (530) 332-6045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A70205 | CA | Yes |

## Other

- **Enumeration date:** 07/22/2008
- **Last updated:** 07/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1306001078 | — | CA |
| 01 | — | DP0755 | MEDICARE RAILROAD | CA |