Brock Medical, LLC
NPI 1023379815ActiveOrganization· Nurse Practitioner· London, KY
Nurse Practitioner in London, Kentucky, registered in NPPES in June 2012. The authorized official on file is Andrew Michael Deane, Vp Finance. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023379815 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 7, 2012 |
| Last updated in NPPES | Dec 14, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 3005556 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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