# BROCK MEDICAL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** First Care Clinics, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023379815
- **Authorized official:** ANDREW MICHAEL DEANE (VP FINANCE)
- **Authorized official phone:** (615) 600-3480

## Contact information

- **Practice address:** 1752 HIGHWAY 192 W, SUITE 1, LONDON, KY 40741-1675
- **Practice address phone:** (606) 330-0055
- **Practice address fax:** (888) 467-5236
- **Mailing address:** 2809 AZALEA PL, NASHVILLE, TN 37204-3117
- **Mailing address fax:** (888) 467-5236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3005556 | KY | Yes |

## Other

- **Enumeration date:** 06/07/2012
- **Last updated:** 12/14/2018