Provider Demographics
NPI:1760800221
Name:FIELD, BROCK STEPHEN (DC)
Entity type:Individual
Prefix:DR
First Name:BROCK
Middle Name:STEPHEN
Last Name:FIELD
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 1:203 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:IA
Mailing Address - Zip Code:52641-2134
Mailing Address - Country:US
Mailing Address - Phone:319-385-4011
Mailing Address - Fax:
Practice Address - Street 1:203 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:IA
Practice Address - Zip Code:52641-2134
Practice Address - Country:US
Practice Address - Phone:319-385-4011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012600111N00000X
IA087903111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor