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RONDAL KEITH BROCK P.A.C.
NPI 1811075088
Physician Assistant - Medical in Tazewell, TN

Active since November 02, 2006
TAZEWELL MEDICAL CLINIC 1442 NORTH BROAD STREET, SUITE 7, TAZEWELL, TN 37879(423) 626-6145(423) 526-2804 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rondal Keith Brock P.a.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONDAL KEITH BROCK P.A.C. (NPI 1811075088) is an individual medical provider in Tazewell, Tennessee and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1811075088
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRONDAL KEITH BROCKCredential: P.A.C.
Location AddressTAZEWELL MEDICAL CLINIC 1442 NORTH BROAD STREET, SUITE 7Tazewell, TN 37879
Mailing Address1037 Old Jacksoboro RoadCumberland Gap, TN 37724-4444 · (423) 869-9980 · Fax (423) 526-2804
Phone(423) 626-6145
Fax(423) 526-2804
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1811075088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
TAZEWELL MEDICAL CLINIC 1442 NORTH BROAD STREET, Tazewell, TN 37879
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Other Identifiers 1

Medicare UPINR83308TN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rondal Brock's NPI number?

The NPI number for Rondal Brock is 1811075088. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Rondal Brock located?

Rondal Brock practices at Tazewell Medical Clinic 1442 North Broad Street Suite 7, Tazewell, TN 37879. The listed phone number is (423) 626-6145.

What is Rondal Brock's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Rondal Brock was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.