BROCK MEDICAL, LLC


Address: 1752 Highway 192 W, Suite 1, London, KY 40741-1675
Phone: 6063300055

BROCK MEDICAL, LLC (NPI# 1023379815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023379815
Entity Type Organization
Organization Name BROCK MEDICAL, LLC
Other Organization Name FIRST CARE CLINICS, LLC
Practice Address 1752 Highway 192 W
Suite 1
London
KY 40741-1675
Mailing Address 2809 Azalea Pl
Nashville
TN 37204-3117
Practice Telephone 6063300055
Practice Fax Number 8884675236
Mailing Fax Number 8884675236
Enumeration Date 2012-06-07
Last Update Date 2018-12-14
Authorized Official Name ANDREW MICHAEL DEANE (VP FINANCE)
Authorized Official Telephone 6156003480
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 3005556 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
First Care Clinics, LLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326600974 Brock Medical, LLC Clinic/Center 230 N Green St, Henderson, KY 42420-3109 2019-07-03
1548822489 Brock Medical, LLC Clinic/Center 2520 S Highway 27, Somerset, KY 42501-3055 2019-07-01
1366003550 Brock Medical, LLC Clinic/Center 15100 N Us Highway 25 E Ste 1, Corbin, KY 40701-6449 2019-06-27
1497290878 Brock Medical, LLC Clinic/Center 2955 Fort Campbell Blvd, Hopkinsville, KY 42240-4901 2016-12-21

Office Location

Street Address 1752 HIGHWAY 192 W
SUITE 1
City LONDON
State KY
Zip Code 40741-1675

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467833343 Faith Ozetta Holt Nurse Practitioner 1752 Highway 192 W, London, KY 40741-1675 2015-06-16
1790033934 Dawn Rene' Carpenter Nurse Practitioner 1752 Highway 192 W, London, KY 40741-1675 2012-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346841244 Emily Anne Simmons Pharmacist 1851 West Hwy 192, London, KY 40741 2020-11-06
1871104364 Jarrod Lee Napier Optometrist 103 Chera Lyn Ln, London, KY 40741 2020-08-10
1295378792 Rebekah Virginia Elaine Cloud Nurse Practitioner 1649 Ky- 192 W, London, KY 40741 2019-10-28
1215416581 Mary Jean Nolan Nurse Practitioner 1649 W. Hwy 192, London, KY 40741 2018-08-08
1558849620 Pinnacle Treatment Centers Ky-1, LLC Substance Abuse Rehabilitation Facility 312 Carrera Drive, London, KY 40741 2018-08-01
1710463435 Pinnacle Treatment Centers Ky-i, LLC Substance Abuse Rehabilitation Facility 300 Carrera Drive, London, KY 40741 2018-07-16
1720591076 Hillary Clark Nurse Practitioner 192 London Shopping Ctr Ste 2, London, KY 40741 2017-11-08
1760901979 Ariel Siler Counselor 454 N. Mcwhorter St., Suite 1, London, KY 40741 2017-09-19
1598287161 Young Smiles,llc Clinic/Center 324 Holly Lane, London, KY 40741 2017-07-14
1952727505 Renew Recovery, LLC Substance Abuse Rehabilitation Facility 2645 N Laurel Rd Ste B, London, KY 40741 2014-03-06
Find all providers in zip 40741

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487144259 William Paul Wolfe Nurse Practitioner 94 Dogpatch Trading Ctr, London, KY 40741-8292 2018-05-16
1821482118 Practitioner Services Pllc Nurse Practitioner 489 Waterworks Rd, London, KY 40741-8229 2015-03-24
1083929236 Kyra N Gambrel Nurse Practitioner 1210 West 5th Street, London, KY 40741-2112 2010-08-12
1104063346 Lisa Abner Nurse Practitioner 103 Chera Lynn St, London, KY 40741-3142 2009-01-09
1912092537 Ruth Anne Combs Nurse Practitioner 181 Old Whitley Rd, London, KY 40744-8211 2006-10-03
1295767556 Internal Medicine Associates of Ky Psc Nurse Practitioner 2135 Highway 30, Suite 1, London, KY 40741-6139 2006-07-07
1669408423 Margaret H Zoellers Nurse Practitioner 148 London Mountain View Dr Ste 4, London, KY 40741-6617 2006-06-24
1518915891 Pyma Medical, Pllc Nurse Practitioner 148 London Mountain View Dr, Suite 4, London, KY 40741-6601 2006-05-05
1417589706 Adam Prewitt Nurse Practitioner 100 London Mountain View Dr Fl 1, London, KY 40741-6668 2020-02-05
1326596966 Misty M. Nichols Nurse Practitioner 55 Park Ave, London, OH 43140 2016-09-12
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Competitor

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City LONDON
Zip Code 40741

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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