MR. DAVID WESLEY BROCK PA-C
NPI 1205024122
Physician Assistant - Surgical in Provo, UT
NPI Status: Active since October 04, 2007
Contact Information
3550 N UNIVERSITY AVE
SUITE 250
PROVO, UT
ZIP 84604
Phone: (801) 374-9625
Fax: (801) 374-9690
- Individual
- Male
- Physician Assistant
- Surgical
- Accepts Insurance
About DAVID BROCK
This page provides the complete NPI Profile along with additional information for David Brock, a provider established in Provo, Utah with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1205024122 assigned on October 2007. The practitioner's primary taxonomy code is 363AS0400X with license number 6725565-1206 (UT). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1205024122
- Provider Name
- MR. DAVID WESLEY BROCK PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3550 N UNIVERSITY AVE SUITE 250 PROVO, UT 84604
- Location Phone
- (801) 374-9625
- Location Fax
- (801) 374-9690
- Mailing Address
- 100 N MARIO CAPECCHI DR SUITE 250 SALT LAKE CITY, UT 84113
- Mailing Phone
- (801) 662-5582
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-04-2007
- Last Update Date
- 02-10-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 6725565-1206
- License State
- UT
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Signature Benchmark Gold - HMO
- Signature Benchmark Gold Standardized Plan - HMO
- Signature Benchmark Silver 5900 Medical Deductible - HMO
- Signature Benchmark Silver Standardized Plan - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Value Benchmark Platinum - HMO
- Value Benchmark Platinum Standardized Plan - HMO
- Value Benchmark Silver 5900 Medical Deductible - HMO
- Value Benchmark Silver Standardized Plan - HMO
- Value Expanded Bronze 6900 Medical Deductible - HMO
- Value Gold 1500 Medical Deductible - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205024122, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205024122, enumerated as an "individual" on October 04, 2007.
The provider is located at 3550 N UNIVERSITY AVE SUITE 250 PROVO, UT 84604 and the phone number is (801) 374-9625.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
The provider might be accepting Accepts: Select Health. Please consult your insurance carrier or call the provider to verify.
