BROCK FAMILY CARE PLLC
NPI 1144961475
Nurse Practitioner - Family in Forest City, NC

NPI Status: Active since April 01, 2022

Contact Information

289 SHILOH RD
FOREST CITY, NC
ZIP 28043
Phone: (828) 382-7282
Fax: (828) 744-0001

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 34D2250063
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 01-24-2026

About BROCK FAMILY CARE PLLC

This page provides the complete NPI Profile along with additional information for Brock Family Care Pllc, a provider established in Forest City, North Carolina operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1144961475 assigned on April 2022. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Brock Family Care Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Camila Almeida Guerrero (Practice Administrator)

NPI
1144961475
Provider Name
BROCK FAMILY CARE PLLC
Entity Type
Organization
Location Address
289 SHILOH RD FOREST CITY, NC 28043
Location Phone
(828) 382-7282
Location Fax
(828) 744-0001
Mailing Address
289 SHILOH RD FOREST CITY, NC 28043
Mailing Phone
(828) 382-7282
Mailing Fax
(828) 744-0001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-01-2022
Last Update Date
05-03-2022
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A nurse practitioner (NP) like Brock Family Care Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 
2363LP2300XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Primary Care

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CAMILA ALMEIDA GUERRERO

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(828) 305-7787

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2250063
Facility Type
Practitioner Other
Certificate Effective Date
January 25, 2024
Certificate Expiration Date
January 24, 2026
Laboratory Director
ANNE L. BROCK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brock Family Care Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144961475
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21841862414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 8 + 6 + 2 + 4 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1144961475 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588732275MRS. ANNE LUCY BROCK FNP-BC, PMHNP-BC
Individual
Nurse Practitioner (Family)289 SHILOH RD
FOREST CITY, NC 28043
(828) 305-7787

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144961475, enumerated in the NPI registry as an "organization" on April 01, 2022

The provider is located at 289 Shiloh Rd Forest City, Nc 28043 and the phone number is (828) 382-7282

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider's CLIA number is 34D2250063 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 01, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.