BROCK SURGICAL GROUP LLC NPI 1891204533

NPI Information

  • NPI: 1891204533
  • Provider Name: BROCK SURGICAL GROUP, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 10255 N 32ND ST
    PHOENIX, AZ
    ZIP 85028
  • Phone: (480) 213-8488

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NPI Details

BROCK SURGICAL GROUP, LLC is an ambulatory surgical clinic center in Phoenix, AZ. BROCK SURGICAL GROUP, LLC NPI is 1891204533. The provider is registered as an organization entity type.

The provider's business location address is:

10255 N 32ND ST
PHOENIX, AZ
ZIP 85028-822
Phone: (480) 213-8488

The provider's authorized official is Justin Lecompte .
The authorized official title is Manager and has the following contact phone number (480) 213-8488.

The enumeration date for this NPI number is 9/26/2017 and was last updated on 7/21/2022.

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
1261QA1903XClinic/CenterAmbulatory SurgicalOSC-17-1451ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OSC-17-1451OTHERARIZONASTATE HEALTH DEPARTMENT LICENSE

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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