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

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: October 18, 2026.

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

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 a secondary practice location in Akron.

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 Location 1

Location 1525 E Market StAkron, OH 44304-1619 · Phone (330) 375-3361

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Brock Landrum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group, Inc
4.0 mi
Psychiatry
1360 DOLWICK DRIVE
Erlanger, KY 41018
  • Reassigned Medicare billing, Kentucky enrollment
  • 946 clinicians in this Medicare group
NPI 1508287640 (859) 344-5555
Pomerene Hospital
177 mi
Critical Access
981 WOOSTER RD
Millersburg, OH 44654
  • Reassigned Medicare billing, Ohio enrollment
  • 103 clinicians in this Medicare group
NPI 1770957185 (330) 674-1584
Emergency Medicine Physicians Of Cuyahoga County, Ltd
216 mi
Emergency Medicine
525 E MARKET ST
Akron, OH 44304
  • Reassigned Medicare billing, Ohio enrollment
  • 134 clinicians in this Medicare group
NPI 1265471148 (844) 474-4019

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. COURTNEY E COFFEY PA-C
Physician Assistant
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-9010
DR. KELLY ANN MACKESSY DO
Surgery (Surgical Oncology)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 578-5880
LYNDSEY LANG MS, RN, NNP-BC
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2423
MS. STEPHANIE ANNE STEGMAN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MICHELLE F PANDIT MD
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2250
ELLE KAISER DNP,CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. ANITA KAY PHILLIPS ARNP-C
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-8074

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 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.

Where is Brock Landrum located?

Brock Landrum practices at 1 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 757-2927.

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.

Is Brock Landrum enrolled in Medicare?

Yes. Brock Landrum is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brock Landrum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brock Landrum reassigns Medicare benefits to 3 organizations: Summit Medical Group, Inc (Erlanger, KY), Pomerene Hospital (Millersburg, OH) and Emergency Medicine Physicians Of Cuyahoga County, Ltd (Akron, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brock Landrum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brock Landrum accept?

Health plans from CareSource list Brock Landrum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 2 months 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.