TERRY BROCK (NPI# 1851991954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851991954 |
| Entity Type | Individual |
| Full Name | TERRY BROCK |
| Credential | FNP |
| Practice Address |
4232 Cahaba Dr Vestavia AL 35243-1600 |
| Practice Telephone | 2059998788 |
| Mailing Telephone | 2059998788 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-069351 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265590624 | Terry F Brock | Dentist | 7283 Carnelian St, Alta Loma, CA 91701 | 2006-12-05 |
| Street Address |
4232 CAHABA DR |
| City | VESTAVIA |
| State | AL |
| Zip Code | 35243-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1548747942 | Kaitlyn Bennett | Occupational Therapist | 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 | 2018-07-27 |
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1184169559 | Olivia Diann Gaston | Behavioral Analyst | 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 | 2016-12-21 |
| 1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
| 1306203682 | Abbey Elizabeth Duke | Physician Assistant | 3690 Grandview Parkway, Birmingham, AL 35243 | 2016-01-18 |
| 1689078628 | Mary Camp | Occupational Therapist | 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 | 2014-10-20 |
| 1255757209 | Laura Romundstad | Nurse Practitioner | 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 | 2014-03-14 |
| 1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
| Find all providers in zip 35243 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336673656 | Richard Robinson | Nurse Practitioner | 4274 Cahaba Heights Ct Ste 130, Vestavia, AL 35243-5724 | 2017-04-13 |
| 1588921803 | Molleen Kofman Desai | Nurse Practitioner | 2200 Mountain View Dr, Vestavia, AL 35216-2026 | 2012-04-12 |
| 1962774372 | Jacinta Wanjiru Kimani | Nurse Practitioner | 1904 Tree Top Ln, Vestavia, AL 35216-2811 | 2012-01-31 |
| 1316580962 | Serina Bourassa | Nurse Practitioner | 2868 Acton Rd, Vestavia, AL 35243-2502 | 2019-10-25 |
| 1295388916 | Erica Brandi King | Nurse Practitioner | 2868 Acton Rd, Vestavia, AL 35243-2502 | 2019-07-22 |
| 1952867210 | Anna Turner | Nurse Practitioner | 2868 Acton Rd, Vestavia, AL 35243-2502 | 2019-02-12 |
| 1558837054 | Megan Lindsey North | Nurse Practitioner | 3140a Cahaba Heights Rd, Vestavia, AL 35243-5243 | 2018-10-23 |
| 1912488768 | Hannah Ammons | Nurse Practitioner | 2868 Acton Rd, Vestavia, AL 35243-2502 | 2018-08-28 |
| 1245724939 | Sarah Gibson | Nurse Practitioner | 5018 Cahaba River Rd, Vestavia, AL 35243-2317 | 2018-06-18 |
| 1346755196 | Priya C Patel | Nurse Practitioner | 575 Southland Dr, Vestavia, AL 35226-3732 | 2017-12-01 |
| Find all providers in VESTAVIA | ||||
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| 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.