Active NPI
Donald Patrick Brock, DC
- Chiropractor
- Corbin, KY
National Provider Identifier
1740374669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4316
- Practice address
- 505 Master St
Corbin, KY 40701 - Phone
- (606) 528-8659
- Fax
- (606) 528-8639
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4316 | KY | Primary |
Addresses
Primary practice location
505 Master St
Corbin, KY 40701
Mailing address
505 Master St
Corbin, KY 40701
Phone (606) 528-8659
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1171395 | Other | CHA | |
| 85036630 | Medicaid | KY | |
| 000000275308 | Other | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
105 N Kentucky Ave
Corbin, KY 40701-1527
Phone (606) 528-8659
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4316 | KY | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Corbin, KY
- NPI 1730385014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1740374669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 MASTER ST",
"city": "CORBIN",
"state": "KY",
"postal_code": "40701",
"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": "505 MASTER ST",
"city": "CORBIN",
"state": "KY",
"postal_code": "40701",
"telephone_number": "606-528-8659",
"fax_number": "606-528-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "DONALD",
"middle_name": "PATRICK",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA",
"identifier": "1171395",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85036630",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000275308",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.