Active NPI
Adam Brock
- Peer Specialist
- Grayson, KY
National Provider Identifier
1982252425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 840 Interstate Dr
Grayson, KY 41143-1768 - Phone
- (866) 233-1955
- NPI assigned
- Aug 28, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
840 Interstate Dr
Grayson, KY 41143-1768
Mailing address
PO Box 790
Ashland, KY 41105-0790
Other practice location 1
125 S Main Cross St
Louisa, KY 41230-1065
Phone (606) 638-0938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1982252425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411050790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 INTERSTATE DR",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411431768",
"telephone_number": "866-233-1955"
}
],
"practiceLocations": [
{
"address_1": "125 S Main Cross St",
"address_purpose": "LOCATION",
"city": "Louisa",
"state": "KY",
"postal_code": "412301065",
"country_code": "US",
"telephone_number": "606-638-0938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROCK",
"first_name": "ADAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-28",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.