Michael E. Brock, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02828 Issued in KY

Practice address

2920 Winchester Ave
Suite 1
Ashland, KY 41101-1962

Phone

(606) 326-0649

Fax

(606) 326-0650

NPI assigned

Nov 14, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Three Rivers Medical Clinics IncGroup PAC ID 7315845047, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Three Rivers Medical Center Hospital, Louisa, KY, CCN 180128

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.brock.1@1954.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Three Rivers Medical Clinics Inc

  • Internal Medicine Physician
  • Louisa, KY
  • NPI 1568567345

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Michael E. Brock, D.O., P.S.C.

  • Family Medicine Physician
  • Ashland, KY
  • NPI 1770782674
  Authorized official Same address or phone
• Three Rivers Medical Clinics Inc

  dba Three Rivers Family Practice - Riverview

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1437824406
  NPD
• Three Rivers Medical Clinics Inc

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1285301952
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital of Louisa, Inc.

  dba Three Rivers Medical Center

  • General Acute Care Hospital
  • Louisa, KY
  • NPI 1063484483
  Care Compare affiliation

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1639241102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 WINCHESTER AVE",
            "address_2": "SUITE 1",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011962",
            "telephone_number": "606-326-0649",
            "fax_number": "606-326-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 WINCHESTER AVE",
            "address_2": "SUITE 1",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011962",
            "telephone_number": "606-326-0649",
            "fax_number": "606-326-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "2006030142",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "02828",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Cody Brewer, DMD
• Leon B Briggs, MD
• Jon A. Brinkman, D.O.
• Broadway Clinic Pharmacy Inc (Medicine Cabinet Pharmacy)
• Johnny Brian Brock, M.S.
• Eric H Bronstein, M.D.
• Shannon Renee Brothers
• Edwin Thomas Brott, MD
• April Broun, MSW, CSW
• Barbara Brown-Clark

• Family Medicine Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.