# BCP 1, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124603402
- **Authorized official:** MARK BARRETT BROOKS (AO)
- **Authorized official phone:** (731) 513-0882

## Contact information

- **Practice address:** 2490 PARR AVE STE 9, DYERSBURG, TN 38024-2030
- **Practice address phone:** (731) 285-0844
- **Mailing address:** 2490 PARR AVE STE 9, DYERSBURG, TN 38024-2030
- **Mailing address phone:** (731) 285-0844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2021
- **Last updated:** 03/17/2021