BCP 1, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BCP 1, LLC

Practice address

2490 Parr Ave Ste 9
Dyersburg, TN 38024-2030

Phone

(731) 285-0844

NPI assigned

Mar 17, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Barrett Brooks

Title

Ao

Phone

(731) 513-0882

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Wade Cook, PHARMACIST

  • Pharmacist
  • Dyersburg, TN
  • NPI 1124170816
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1124603402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 PARR AVE STE 9",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242030",
            "telephone_number": "731-285-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 PARR AVE STE 9",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242030",
            "telephone_number": "731-285-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCP 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "BARRETT",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "731-513-0882"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Nye Barton, M.D.
• Caro Fe Bassett, COTAL
• Keno Bateman
• Deborah Baumgardner
• BCP 1, LLC
• BCP1, LLC Long Term Care
• Jeffrey Thomas Beasley, D.C.
• Percy E Beasley, BEHAVIOR ANALYST
• Wanda Renee Beaver
• Brittany Bennett, FNP

• All providers in Dyersburg, TN
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.