=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871442954
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DARBY BROCK CRNP, FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/22/2026
-----------------------------------------------------
Last Update Date | 01/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1530 8TH AVE
-----------------------------------------------------
City | BETHLEHEM
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18018-1883
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-526-6545
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 205 BIRCHLAND AVE
-----------------------------------------------------
City | MOUNT JOY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17552-1201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-381-1928
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | SP034967
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------