BC Medical LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3005556 Issued in KY

Legal business name

BC MEDICAL LLC

Practice address

1675 S Main St
London, KY 40741-2050

Phone

(606) 330-1717

Fax

(606) 330-0061

NPI assigned

Mar 2, 2015

Organization subpart

No

Name

Ms. Nadine Brock, APRNNPI 1285800938

Title

Member/NP

Phone

(606) 330-1717

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

• Nadine Brock, APRN

  • Nurse Practitioner
  • London, KY
  • NPI 1285800938

  KY, Nurse Practitioner

  Medicare reassignment NPD Authorized official
• Edith L Roberts, APRN

  • Nurse Practitioner
  • Corbin, KY
  • NPI 1194045104

  KY, Nurse Practitioner

  Medicare reassignment NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in KY

Locations

• Convenient Care Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 2, 2015.

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1992197867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 S MAIN ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412050",
            "telephone_number": "606-330-1717",
            "fax_number": "606-330-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 S MAIN ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412050",
            "telephone_number": "606-330-1717",
            "fax_number": "606-330-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BC MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "MEMBER/NP",
        "authorized_official_telephone_number": "606-330-1717",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3005556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100058050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convenient Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Elizabeth Barrier, DPT
• Ashley Barton, NP
• Charles B. Barton, MD
• Stephen Lambert Barton, P.T.
• James Thomas Bastin, MD
• Vickie Begley
• Brian Behrendt, P.A.
• Brittany Belcher, PA-C
• Patrice Beliveau, M.D.
• Shaun Matthew Bellerson

• All providers in London, KY
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.

Verify at the official NPI Registry.