DR. REGINA LYNN BROCK (NPI# 1699887398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699887398 |
| Entity Type | Individual |
| Full Name | DR. REGINA LYNN BROCK |
| Other Name | MS. REGINA LYNN MCDANIELS |
| Credential | MD |
| Practice Address |
858 Eastern Byp Richmond KY 40475-2512 |
| Practice Telephone | 8596260072 |
| Practice Fax Number | 8596269684 |
| Mailing Telephone | 8596260072 |
| Mailing Fax Number | 8596269684 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34004 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64050768 | 05 | |
| DEPT OF JUSTICE - DEA | BM6058247 | 01 | |
| KY | MED LIC (KY BOARD OF MED) | 34204 | 01 |
| Street Address |
858 EASTERN BYP |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750301495 | James Earl Miller | Internal Medicine | 858 Eastern Byp, Richmond, KY 40475-2512 | 2006-07-19 |
| 1639558083 | Devin Miles Whitehead | Nurse Practitioner | 858 Eastern Byp, Richmond, KY 40475-2512 | 2015-05-19 |
| 1346637477 | Casandra Kendrick | Family Medicine | 858 Eastern Byp, Richmond, KY 40475-2512 | 2015-04-15 |
| 1013334184 | Amy Martin Higgins | Internal Medicine | 858 Eastern Byp, Richmond, KY 40475 | 2014-03-26 |
| 1497990725 | Lauren Alderdice Ridgway | Physician Assistant | 858 Eastern Byp, Richmond, KY 40475-2512 | 2008-12-16 |
| 1639193766 | Barry Ralph Williams | Pediatrics | 858 Eastern Byp, Richmond, KY 40475-2512 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1518590611 | Titilayo Oluwakemi Akinpelu | Family Medicine | 19710 Terrace Cliff Ct, Richmond, TX 77407-1920 | 2020-02-17 |
| 1154977742 | Lesley Chanell Lagrue | Family Medicine | 9114 Andes Ridge Ln, Richmond, TX 77407-1692 | 2019-08-10 |
| 1285291898 | Np Care LLC | Family Medicine | 1618 Pope Ave, Richmond, VA 23227-3754 | 2019-05-20 |
| 1639653025 | Ruchita S Patel Md Pllc | Family Medicine | 19303 Mission Cove Ln, Richmond, TX 77407-2559 | 2018-09-20 |
| 1548777915 | Kudirat Folorunsho Sunmonu | Family Medicine | 6930 Chapel Meadow Ln, Richmond, TX 77407-3833 | 2018-01-05 |
| 1114450624 | Jacqueline Britz | Family Medicine | 4730 E Southside Plaza, Richmond, VA 23224 | 2017-04-11 |
| 1255862926 | Andrew Lyell | Family Medicine | 3204 Parkwood Ave, Richmond, VA 23221-3421 | 2017-03-24 |
| 1255782546 | Clarkson Health LLC | Family Medicine | 4821 Old National Rd E, Suite A, Richmond, IN 47374-2651 | 2016-06-28 |
| 1326498650 | Emily Nicole Lynch | Family Medicine | 3591 Dorothy Ln, Richmond, IN 47374-6749 | 2016-06-17 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.