Michael E. Brock, D.O., P.S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MICHAEL E. BROCK, D.O., P.S.C.

Practice address

2920 Winchester Ave
Suite 1
Ashland, KY 41101-1962

Phone

(606) 326-0640

Fax

(606) 326-0650

NPI assigned

Jul 12, 2007

Last updated

Apr 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Eugene Brock, D.O.NPI 1639241102

Title

Owner

Phone

(606) 326-0640

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael E. Brock, D.O.

  • Family Medicine Physician
  • Ashland, KY
  • NPI 1639241102
  Authorized official Same address or phone

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1770782674",
    "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": "606-326-0640",
            "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": "606-326-0640",
            "fax_number": "606-326-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. BROCK, D.O., P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-326-0640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64081540",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Franklin Meredith, D.C.
• Derrick Mershon, MD
• Jaquline Messer
• Frelina R Metzler
• Amanda Meyer, LPCC
• Michael G. Ehrie, Jr, PSC (michael g. ehrie, md. psc)
• Michael J. Goodwin, MD, PSC
• Micheal D. Chapman PHD & Associates
• Michelle Murray, DPM, PSC
• Tianna Middleton

• 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 Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.