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Deactivated NPI 1780791756 Deactivated / Inactive NPI Male Practitioner

Paul William Brock , PA-C

Physician Assistant • San Antonio, 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, Paul Brock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 24, 2006
NPI Deactivation Date September 26, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Paul Brock, PA-C was a registered Physician Assistant practicing in San Antonio, TX. Throughout an active medical career spanning 11 years, Paul Brock provided care at the practice location at 22202 BULVERDE RD until profile deactivation on 2017-09-26.

Practice Location & Contact Primary Location

Practice Address

22202 Bulverde Rd
Minute Clinic

San Antonio, TX 782613080

Telephone 2107717506
Associated Practice Facility / Clinic
🏢 Cvs Pharmacy, Inc. Facility NPI 1891950812

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
888 Specialists

Practicing in San Antonio, TX (11140 Statewide)

Telehealth Adoption Rate
13.0% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA01591

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

17 Associated Practitioners
Jamie Wadas

Nurse Practitioner - Family

NPI 1033624648
Sara Folmar , FNP

Nurse Practitioner - Family

NPI 1083179675

Family Nurse Practitioner

Rhonda Honeycutt , RN, FNP-BC

Nurse Practitioner - Family

NPI 1164850798

Registered Nurse, Family Nurse Practitioner (Board Certified)

Melissa Stephenson , NP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1194282749

Nurse Practitioner (Certified)

Lucinda Lundy Zeinelabdin , FNP-C

Nurse Practitioner - Family

NPI 1194293936

Family Nurse Practitioner (Certified)

Stefanie Johnson-Sykes , FNP-C

Nurse Practitioner - Family

NPI 1265855308

Family Nurse Practitioner (Certified)

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 26, 2017

Record deactivated on September 26, 2017

NPI Profile Active April 14, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 14, 2015

Registered at 22202 BULVERDE RD, MINUTE CLINIC, SAN ANTONIO, TX 782613080 (Tel: 2107717506)

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Updated Business Mailing Address April 14, 2015

Registered at PO BOX 6766, SAN ANTONIO, TX 782090766 (Tel: 2107717506)

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Provider Name / Credentials Updated April 14, 2015

Recorded as PAUL BROCK, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2015

Physician Assistant (License #PA01591 in TX)

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Initial NPI Registration & Enumeration August 24, 2006

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: 1780791756
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2006
Last Update: April 14, 2015
Deactivation Date: September 26, 2017

Mailing Address

Po Box 6766

San Antonio, TX 782090766

Phone: 2107717506

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.