Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BROCK ALLEN LANDRUM MD
NPI 1912584160
Internal Medicine - Critical Care Medicine in Edgewood, KY

Q: What is Brock Landrum's NPI number?

The NPI number for Brock Landrum is 1912584160. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Q: What is Brock Landrum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Brock Landrum was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2021PECOS Enrolled

1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 757-2927(859) 341-0203 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 10, 2026, May 8, 2024, Mar 25, 2021 (3 updates tracked since 2021).

On this page

About Brock Allen Landrum Md NPPES

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

BROCK ALLEN LANDRUM MD (NPI 1912584160) is an individual critical care medicine provider in Edgewood, Kentucky, licensed in Kentucky (61701) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912584160

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameBROCK ALLEN LANDRUMCredential: MD

Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403

Mailing Address525 E Market StAkron, OH 44304-1619

Phone(859) 757-2927

Fax(859) 341-0203

Sole ProprietorNo

Enumeration DateMarch 25, 2021

Last NPPES UpdateAugust 10, 20263 updates tracked since enumeration

NPPES CertifiedAugust 10, 2026

✔ NPI 1912584160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in KY · 61701

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 35.148776 (OH)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 MEDICAL VILLAGE DR, Edgewood, KY 41017

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Medical Village DrEdgewood, KY 41017-3403 · Phone (859) 757-2927 · Fax (859) 341-0203

Location 2525 E Market StAkron, OH 44304-1619 · Phone (330) 375-3361

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brock Allen Landrum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARA LINDSAY HANSEN CRNA

Nurse Anesthetist, Certified Registered