Billy Ray Brock

Individual provider Active NPI Peer Specialist · Whitesburg, KY

NPI 1275465411 · NPPES record last updated Jun 2, 2026

Key facts

NPI
1275465411
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
License
304474 (KY)
Practice address
240 Hospital Rd
Whitesburg, KY 41858-7627
Phone
(606) 633-3500
NPI assigned
Jun 2, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
304474KYMDPeer Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 304474 KY Yes

Addresses

Primary practice location

240 Hospital Rd
Whitesburg, KY 41858-7627

Mailing address

240 Hospital Rd
Whitesburg, KY 41858-7627
Phone (606) 633-3500

Other providers in Whitesburg, KY

All providers in Whitesburg, KY · Peer Specialist in Kentucky

Sources for this page

Verify at the official NPI Registry.