Individual
HOWARD ROBERT BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
331 HINCH ST, SPRING CITY, TN 37381-5217
(931) 248-1414
(931) 707-5178
Mailing address
PO BOX 3350, CROSSVILLE, TN 38557-3350
(931) 248-1414
(931) 707-5178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000036269
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3357233
CIGNA
TN
01
—
4095858
BLUE CROSS BLUE SHIELD
TN
01
—
702025457
CARITEN HEALTHCARE
TN
01
—
P00190427
RAIROAD MEDICARE
TN
01
—
TN0101
JOHN DEERE
TN
Enumeration date
06/14/2006
Last updated
10/14/2016
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