Individual provider · Type 1 NPI

Brock Michael Renken

Physician Assistant · Joplin, MO

NPI number 1821725615 Active

Practice location

1027 S Main St Ste 202
Joplin, MO 64801-4540

Call (417) 624-0050 Map

Mailing address

444 Four States Dr Ste 1
Galena, KS 66739-4325

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	5478 (OK)
Medical Physician Assistant	363AM0700X	2025006240 (MO)
Physician Assistant Primary	363A00000X	15-03048 (KS)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1821725615

Brock Michael Renken's National Provider Identifier is 1821725615, issued on Aug 2, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Joplin, MO. The record was last updated on Jun 8, 2026.