GEORGE BRADLEY KLOCK DO
NPI 1104810001
Neuromusculoskeletal Medicine & OMM in Des Moines, IA

Q: What is George Klock's NPI number?

The NPI number for George Klock is 1104810001. It was assigned to this individual provider in the NPPES registry on September 7, 2005. The provider is also known as G Bradley Klock Do PC.

Q: What is George Klock's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: When was this NPI record last updated?

The NPPES record for George Klock was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 07, 2005

3200 GRAND AVE, DES MOINES, IA 50312(515) 271-1722(515) 271-1697 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About George Bradley Klock Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE BRADLEY KLOCK DO (NPI 1104810001) is an individual neuromusculoskeletal medicine & omm provider in Des Moines, Iowa, licensed in Iowa (1998) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1104810001

Entity TypeIndividualMale

Primary Taxonomy204D00000X

Provider Legal NameGEORGE BRADLEY KLOCKCredential: DO

Location Address3200 GRAND AVEDes Moines, IA 50312-4104

Mailing Address3200 Grand AveDes Moines, IA 50312-4104 · (515) 271-1722 · Fax (515) 271-1697

Phone(515) 271-1722

Fax(515) 271-1697

Sole ProprietorNo

Enumeration DateSeptember 7, 2005

Last NPPES UpdateMay 23, 2012

✔ NPI 1104810001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

Licenses✔ Licensed in IA · 1998✔ Licensed in AZ · 1890

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

3200 GRAND AVE, Des Moines, IA 50312

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Other Names 1

Professional Name (2)G Bradley Klock Do Pc

Other Identifiers 5

Medicare PINI20216IA

Medicare UPINE66786

OtherAZ0064860AZ · Bcbs Of Arizona

Medicaid1104810001IA

Medicare ID-Type UnspecifiedD01890AZ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JARROD ALEXANDER SMITH DPM

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