Provider Demographics
NPI:1235182411
Name:BROCK, BRIGIT VICTORIA (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIGIT
Middle Name:VICTORIA
Last Name:BROCK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1229 MADISON ST
Mailing Address - Street 2:OBSTETRIX/SWEDISH MEDICAL CENTER , SUITE 750
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3586
Mailing Address - Country:US
Mailing Address - Phone:206-386-2101
Mailing Address - Fax:206-386-2555
Practice Address - Street 1:1229 MADISON ST
Practice Address - Street 2:OBSTETRIX/SWEDISH MEDICAL CENTER , SUITE 750
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3586
Practice Address - Country:US
Practice Address - Phone:206-386-2101
Practice Address - Fax:206-386-2555
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
WA00031111207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8199010Medicaid
WA8199010Medicaid