Provider Demographics
NPI:1801044177
Name:BELCHER, BROCK BRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:BROCK
Middle Name:BRIAN
Last Name:BELCHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 ALMA DR
Mailing Address - Street 2:137
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-8844
Mailing Address - Country:US
Mailing Address - Phone:972-423-5008
Mailing Address - Fax:972-312-0397
Practice Address - Street 1:700 ALMA DR
Practice Address - Street 2:137
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-8844
Practice Address - Country:US
Practice Address - Phone:972-423-5008
Practice Address - Fax:972-312-0397
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4438-012111N00000X
TX13274111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor