Karen Dale Brock, CPM TN
Individual provider Active NPI Midwife · Ardmore, TN
NPI 1508907171 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508907171
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- CPM0000000022 (TN)
- Practice address
- 25112 Union Hill Rd
Ardmore, TN 38449-3168 - Phone
- (931) 427-3726
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPM0000000022 | TN | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | CPM0000000022 | TN | Yes |
Addresses
Primary practice location
25112 Union Hill Rd
Ardmore, TN 38449-3168
Mailing address
210 Willingham Dr
Cullman, AL 35055-3183
Phone (256) 734-4593
Other providers in Ardmore, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.