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Deactivated NPI 1699771675 Deactivated / Inactive NPI Male Practitioner

Dr. John Edward Bock , MD

Specialist • Conroe, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Bock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 23, 2005
NPI Deactivation Date September 04, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. John Bock, MD was a registered Specialist practicing in Conroe, TX. Throughout an active medical career spanning 20 years, Dr. Bock provided care at the practice location at 800 RIVERWOOD CT until profile deactivation on 2025-09-04.

Practice Location & Contact Primary Location

Practice Address

800 Riverwood Ct
Ste 104

Conroe, TX 773042824

Telephone 9369539119
Fax 9365391183
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Conroe, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Conroe, TX (2033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX G3979

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Bang-Ning Lee , PA-C

Physician Assistant

NPI 1073822144

Physician Assistant (Certified)

Kerry Kuperman

Behavior Analyst

NPI 1194366880
Dr. Camille Clemens-Clayton , PhD

Psychologist - Clinical

NPI 1265800031

Doctor of Philosophy (Ph.D.)

NPI 1376530758

Doctor of Osteopathic Medicine (D.O.)

NPI 1477220317

Master of Arts, Board Certified Behavior Analyst, Licensed Behavior Analyst

Dr. Yavonne Martinez , RPH, PharmD

Pharmacist - Pharmacotherapy

NPI 1710902978

Registered Pharmacist, Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 04, 2025

Record deactivated on September 04, 2025

NPI Profile Active January 12, 2010

NPI status registered as active in NPPES database

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Updated Practice Location January 12, 2010

Registered at 800 RIVERWOOD CT, STE 104, CONROE, TX 773042824 (Tel: 9369539119)

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Updated Business Mailing Address January 12, 2010

Registered at 800 RIVERWOOD CT, STE 104, CONROE, TX 773042824 (Tel: 9369539119)

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Provider Name / Credentials Updated January 12, 2010

Recorded as JOHN BOCK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2010

Specialist (License #G3979 in TX)

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Initial NPI Registration & Enumeration June 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699771675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2005
Last Update: January 12, 2010
Deactivation Date: September 04, 2025

Mailing Address

800 Riverwood Ct, Ste 104

Conroe, TX 773042824

Phone: 9369539119

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.