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Active NPI 1205024122 Individual Practitioner Male Practitioner

David Wesley Brock , PA-C

Physician Assistant - Surgical • Provo, UT

Professional Overview & Biography Verified Profile Summary

David Brock, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Provo, UT. Practice services are available at 3550 N UNIVERSITY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3550 N University Ave
Suite 250

Provo, UT 846046683

Telephone 8013749625
Fax 8013749690
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
10 Specialists

Practicing in Provo, UT (146 Statewide)

Telehealth Adoption Rate
10.0% 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 - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License UT 6725565-1206

Definition to come...

Practice Associates & Co-Workers

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

20 Associated Practitioners
Christy Anderson , APRN

Nurse Practitioner

NPI 1083869101

Advanced Practice Registered Nurse

NPI 1164528717

Doctor of Medicine (M.D.)

Lacee Wilkinson , PA-C

Physician Assistant - Surgical

NPI 1164709630

Physician Assistant (Certified)

Wesley Larsen , APRN

Nurse Practitioner - Family

NPI 1174770440

Advanced Practice Registered Nurse

NPI 1215977517

Doctor of Medicine (M.D.)

NPI 1285088591

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2016

Registered at 3550 N UNIVERSITY AVE, SUITE 250, PROVO, UT 846046683 (Tel: 8013749625)

📍
Updated Business Mailing Address February 10, 2016

Registered at 100 N MARIO CAPECCHI DR, SUITE 250, SALT LAKE CITY, UT 841131103 (Tel: 8016625582)

👤
Provider Name / Credentials Updated February 10, 2016

Recorded as DAVID BROCK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2016

Physician Assistant (License #6725565-1206 in UT)

🟢
Initial NPI Registration & Enumeration October 04, 2007

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: 1205024122
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2007
Last Update: February 10, 2016
Sole Proprietor: No

Mailing Address

100 N Mario Capecchi Dr, Suite 250

Salt Lake City, UT 841131103

Phone: 8016625582

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.