OrganizationBrock Medical, Llc(First Care Clinics, Llc)Nurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1752 Highway 192 W, Suite 1, London, KY 40741-1675(606) 330-0055PECOS EnrollmentBased on the most recent information from CMS, provider Brock Medical, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1023379815Provider TypeOrganizationFull NameBrock Medical, LlcOther NameFirst Care Clinics, LlcSubpartNoEnumeration Date6/7/2012Last Updated12/14/2018Contact InformationPractice LocationPractice Address1752 Highway 192 W, Suite 1, London, KY 40741-1675Phone(606) 330-0055Fax(888) 467-5236Mailing LocationMailing Address2809 Azalea Pl, Nashville, TN 37204-3117PhoneUnlisted PhoneFax(888) 467-5236Authorized OfficialNameDeane, Andrew Michael (Vp Finance)Phone(615) 600-3480Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense3005556Kentucky