Terry Brock, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-069351 Issued in AL

Practice address

4232 Cahaba Dr
Vestavia, AL 35243-1600

Phone

(205) 999-8788

NPI assigned

Oct 28, 2020

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

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Birmingham AIDS Outreach

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1336507953
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL

  Medicare reassignment NPD
• Scott R Weisberg MD, PC

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1073696126
  NPD

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1851991954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 CAHABA DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352431600",
            "telephone_number": "205-999-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 CAHABA DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352431600",
            "telephone_number": "205-999-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "TERRY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-069351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Brindley
• Brittany Mechelle Bristow
• Adrena Dione Broadnax
• James Albert Brock III, CRNA
• Jaylene Brock
• Melissa Fay Brooks, ALC
• Brookwood Endodontics, P.C.
• Brookwood Primary Care Vestavia, L.L.C.
• Brookwood Psychology LLC
• Shelia Brown-Heard

• Family Nurse Practitioner in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.