BRYAN KROCK PHD NPI 1720999790

NPI Information

  • NPI: 1720999790
  • Provider Name: BRYAN KROCK, PHD
  • Classification: Specialist/Technologist, Other - 246ZG1000X
  • Specialization: Geneticist, Medical (PhD)
  • Entity Type: Individual
  • Address: 4415 E COTTON CENTER BLVD STE 100
    PHOENIX, AZ
    ZIP 85040
  • Phone: (888) 979-8669

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NPI Details

Bryan Krock, PHD is a geneticist and medical (phd) specialist technologist other in Phoenix, AZ. Bryan Krock, PHD NPI is 1720999790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4415 E COTTON CENTER BLVD STE 100
PHOENIX, AZ
ZIP 85040-903
Phone: (888) 979-8669

The enumeration date for this NPI number is 9/16/2026 and was last updated on 9/16/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246ZG1000XSpecialist/Technologist, OtherGeneticist, Medical (PhD)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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