Active NPI
Rockcastle Ventures Inc.
- Nurse Practitioner
- Mount Vernon, KY
National Provider Identifier
1033320882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4217P
- Legal business name
- ROCKCASTLE VENTURES INC.
- Practice address
- 140 Newcomb Ave
Mount Vernon, KY 40456-2728 - Phone
- (606) 256-7761
- Fax
- (606) 256-5191
- NPI assigned
- May 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandy L. Bullock
- Title
- Director
- Phone
- (606) 256-7761
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39587 | KY | |
| Family Medicine Physician | 207Q00000X | 35006 | KY | |
| Internal Medicine Physician | 207R00000X | 23990 | KY | |
| Internal Medicine Physician | 207R00000X | 25335 | KY | |
| Pediatrics Physician | 208000000X | 23990 | KY | |
| Pediatrics Physician | 208000000X | 25335 | KY | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 38737 | KY | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 17410 | KY | |
| Physician Assistant | 363A00000X | PA861 | KY | |
| Nurse Practitioner | 363L00000X | 4217P | KY | Primary |
Addresses
Primary practice location
140 Newcomb Ave
Mount Vernon, KY 40456-2728
Mailing address
PO Box 279
Mount Vernon, KY 40456-0279
Phone (606) 256-7761
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1033320882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 279",
"city": "MOUNT VERNON",
"state": "KY",
"postal_code": "404560279",
"telephone_number": "606-256-7761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 NEWCOMB AVE",
"city": "MOUNT VERNON",
"state": "KY",
"postal_code": "404562728",
"telephone_number": "606-256-7761",
"fax_number": "606-256-5191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKCASTLE VENTURES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BULLOCK",
"authorized_official_first_name": "BRANDY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "606-256-7761"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KY",
"license": "39587",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KY",
"license": "35006",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "KY",
"license": "23990",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "KY",
"license": "25335",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "KY",
"license": "23990",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "KY",
"license": "25335",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "KY",
"license": "38737",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "KY",
"license": "17410",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA861",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "4217P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, KY
- Rockcastle Hospital and Respiratory Care Center, Inc.
- Rockcastle Pediatrics & Adolescents PSC
- Rockcastle Regional Hospital
- Rockcastle Therapy Associates
- Rockcastle Ventures D.B.a. Rockcastle Family Health
- Rockcastle Ventures Inc.
- Rockcastle Ventures Inc. D.B.a. Callie Shaffer, M.D.
- Rockcastle Ventures Inc. Doing Business As Mt. Vernon Clinic
- Rockcastle Ventures Inc. Doing Business As Rockcastle Clinic
- Michael Kevin Rowe, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.