MEDICARE: MR. PETER ANDREW BROCK FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	APN.0999119	CO

General Provider Information

NPI Number	:	1992298665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PETER ANDREW BROCK FNP-C

Provider Business Mailing Address
First Line	:	4190 E WOODMEN RD STE 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-8075
Country	:	US
Telephone Number	:	719-632-4455
Fax Number	:	360-462-5181

Provider Business Practice Location Address
First Line	:	4190 E WOODMEN RD STE 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-8075
Country	:	US
Telephone Number	:	719-632-4455
Fax Number	:	360-462-5181

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2018
Last Update Date	:	12/05/2025

Similar Medicare Providers

1316930241 — RICHARD PHONG VU M.D.
Practice Location Address:

4190 E WOODMEN RD , SUITE 100
COLORADO SPRINGS, CO
80920-8075

Practice Phone: 719-632-4455
Practice Fax: 719-633-6413

1972596815 — DR. LARRY ALAN GOLD M.D.
Practice Location Address:

4190 E WOODMEN RD STE 100
COLORADO SPRINGS, CO
80920-8075

Practice Phone: 719-632-4455
Practice Fax:

1881688752 — DR. VALERIE A BECK M.D.
Practice Location Address:

4190 E WOODMEN RD , SUTIE 100
COLORADO SPRINGS, CO
80920-8075

Practice Phone: 719-632-4455
Practice Fax: 719-633-6413

1306827050 — DR. MATTHEW RICHARD KEYSOR M.D.
Practice Location Address:

4190 E WOODMEN RD STE 100
COLORADO SPRINGS, CO
80920-8075

Practice Phone: 719-632-4455
Practice Fax: 719-418-2128

1114902558 — MR. PAUL KEEFER EDWARDS PA-C
Practice Location Address:

4190 E WOODMEN RD
COLORADO SPRINGS, CO
80920-8075

Practice Phone: 719-632-4455
Practice Fax:

1194705244 — DR. SUSAN E. MATTHEWS M.D.
Practice Location Address:

4190 E WOODMEN RD STE 100
COLORADO SPRINGS, CO
80920-8075

Practice Phone: 719-632-4455
Practice Fax: 719-633-4613

Directions to “ MR. PETER ANDREW BROCK FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.