Organization Active NPI

Krock Capital LLC

  • Chiropractor
  • Franklin, TN
National Provider Identifier
1497520712
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KROCK CAPITAL LLC
Practice address
4115 Mallory LN
Franklin, TN 37067-2906
Phone
(615) 771-7720
NPI assigned
Nov 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Dr. Bradley Elliott Krock, DCNPI 1326717703
Title
Owner/Operator
Phone
(601) 209-1022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4115 Mallory LN
Franklin, TN 37067-2906

Mailing address

4115 Mallory LN
Franklin, TN 37067-2906
Phone (615) 771-7720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240109002526 TN Part B Supplier - Clinic/Group Practice 9234580705 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, TN

National Provider Directory

National Provider Directory

Locations

4115 Mallory Ln
Franklin, TN 37067
Phone (615) 771-7720

1325 W Main St
Ste 103
Franklin, TN 37064
Phone (615) 723-0201

4115 Mallory Ln
Ste 200
Franklin, TN 37067
Phone (615) 771-7720

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1497520712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 MALLORY LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672906",
            "telephone_number": "615-771-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 MALLORY LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672906",
            "telephone_number": "615-771-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROCK CAPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "KROCK",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "601-209-1022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.