Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. BRIAN BOCK
Active
Individual
DR. BRIAN BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16762-40
WI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
16762-40
WI
1835P1200X
Pharmacotherapy Pharmacist
16762-40
WI
1835P2201X
Ambulatory Care Pharmacist
16762-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051.296057
STATE LICENSE
IL
05
—
100271681
—
WI
01
—
16762-40
STATE LICENSE
WI
Enumeration date
06/16/2015
Last updated
05/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers