D Patrick Brock PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4316 Issued in KY

Legal business name

D PATRICK BROCK PSC

Practice address

1015 Master St
Corbin, KY 40701-1065

Phone

(606) 528-8659

Fax

(606) 528-8639

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donald Patrick Brock, D.C.NPI 1740374669

Title

President

Phone

(606) 528-8659

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Donald Patrick Brock, DC

  • Chiropractor
  • Corbin, KY
  • NPI 1740374669
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1730385014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MASTER ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011065",
            "telephone_number": "606-528-8659",
            "fax_number": "606-528-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MASTER ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011065",
            "telephone_number": "606-528-8659",
            "fax_number": "606-528-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D PATRICK BROCK PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-528-8659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PROVIDER NUMBER",
            "identifier": "0957401",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee Sue Cunningham
• Jeffrey L Cunningham, CRNA
• Bryan T Curd, MD
• Susan Curry, BA
• D and M Pharmacies, Inc
• Christina M Dale, MSW
• Ashley C Dalton, DPT
• Dana S Chitwood LLC
• Terri L Daniel-Chumbley, M.D.
• Cynthia L Daniel, PA-C

• Chiropractor in Corbin, KY
• Providers in Corbin, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.