Patrick Gorman Shepherd (NPI# 1629561493, PAC ID# 6103179270) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629561493 |
| PAC ID by PECOS | 6103179270 |
| Professional Enrollment ID | I20181019002084 |
| Full Name | Patrick Gorman Shepherd |
| Organization Legal Name | BROCK MEDICAL, LLC |
| Address |
2520 S Hwy 27 Somerset KY 42501-3055 |
| Phone Number | 6064165719 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830354638 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180132 | LAKE CUMBERLAND REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2520 S Hwy 27, Somerset, KY 42501-3055 | 6064165719 | BROCK MEDICAL, LLC |
| Organization Legal Name | BROCK MEDICAL, LLC |
| Physicians | 79 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin William Davis | Nurse Practitioner | Brock Medical, LLC | 110 W John Rowan Blvd, Bardstown, KY 40004-2663 |
| Anna Morrison | Nurse Practitioner | Brock Medical, LLC | 1591 Hustonville Rd, Danville, KY 40422-2425 |
| Patricia Linn Gibson | Nurse Practitioner | Brock Medical, LLC | 2955 Fort Campbell Blvd, Hopkinsville, KY 42240-4901 |
| Kimberly Cote | Nurse Practitioner | Brock Medical, LLC | 106 W John Rowan Blvd, Bardstown, KY 40004-2636 |
| Megan Danielle Hensley | Nurse Practitioner | Brock Medical, LLC | 480 Bullion Blvd, Suite B, Winchester, KY 40391-2933 |
| Jennifer Henderson | Nurse Practitioner | Brock Medical, LLC | 230 N Green St, Henderson, KY 42420-3109 |
| Holly M Griffin | Nurse Practitioner | Brock Medical, LLC | 15100 N Us Hwy 25e, Suite 1, Corbin, KY 40701-6449 |
| Kayla Tuers | Nurse Practitioner | Brock Medical, LLC | 301 Versailles Rd, Frankfort, KY 40601-3633 |
| Janice Mae Bullins | Nurse Practitioner | Brock Medical, LLC | 1752 Hwy 192 W 1, London, KY 40741-1675 |
| Amber N.t. Harbin | Nurse Practitioner | Brock Medical, LLC | 1649 Hwy 192 W, London, KY 40741-1674 |
| Street Address |
2520 S HWY 27 |
| City | SOMERSET |
| State | KY |
| Zip | 42501-3055 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Kay Harris | Nurse Practitioner | Lake Cumberland District Health Department | 45 Roberts St, Somerset, KY 42501-1295 |
| Harvey A Schleter | Optometry | 709 E Mount Vernon St, Somerset, KY 42501-1338 | |
| Jennifer B Compton | Optometry | 709 E Mount Vernon St, Suite 1, Somerset, KY 42501-1338 | |
| William E Robinson Jr. | Optometry | 709 E Mount Vernon St, Suite A, Somerset, KY 42501-1338 | |
| Syd C Egenhauser | Chiropractic | 650 N Main St, Suite 212, Somerset, KY 42501-1432 | |
| William Joseph Dungan | Clinical Social Worker | 218 Ohio St, Somerset, KY 42501-1638 | |
| Wade Allen Davis | Chiropractic | 604 Ogden St, Suite 202, Somerset, KY 42501-1718 | |
| Tammy Sutton- Carnes | Nurse Practitioner | Family Health Care Associates of Kentucky Inc | 224 Langdon St, Suite B, Somerset, KY 42501-2342 |
| Allison Sallee | Qualified Speech Language Pathologist | Brighter Futures Therapy Center LLC | 303 2nd St, Somerset, KY 42501-2390 |
| Brittany L Gaines | Qualified Speech Language Pathologist | Brighter Futures Therapy Center LLC | 303 2nd St, Somerset, KY 42501-2390 |
| Find all physicians in zip 42501 | |||
| City | SOMERSET |
| Zip Code | 42501 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SOMERSET + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.