Provider Demographics
NPI:1144961475
Name:BROCK FAMILY CARE PLLC
Entity type:Organization
Organization Name:BROCK FAMILY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMEIDA GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-305-7787
Mailing Address - Street 1:289 SHILOH RD
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-6958
Mailing Address - Country:US
Mailing Address - Phone:828-382-7282
Mailing Address - Fax:828-744-0001
Practice Address - Street 1:289 SHILOH RD
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-6958
Practice Address - Country:US
Practice Address - Phone:828-382-7282
Practice Address - Fax:828-744-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-01
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty