Organization
ROCKCASTLE VENTURES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY L. BULLOCK (DIRECTOR)
(606) 256-7761
Entity
Organization
Contact information
Practice address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2728
(606) 256-7761
(606) 256-5191
Mailing address
PO BOX 279, MOUNT VERNON, KY 40456-0279
(606) 256-7761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35006
KY
207Q00000X
Family Medicine Physician
39587
KY
207R00000X
Internal Medicine Physician
23990
KY
207R00000X
Internal Medicine Physician
25335
KY
208000000X
Pediatrics Physician
23990
KY
208000000X
Pediatrics Physician
25335
KY
2080A0000X
Pediatric Adolescent Medicine Physician
38737
KY
2086S0122X
Plastic and Reconstructive Surgery Physician
17410
KY
363A00000X
Physician Assistant
PA861
KY
363L00000X
Nurse Practitioner
Primary
4217P
KY
Other
Enumeration date
05/24/2007
Last updated
09/11/2025
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