Jay David Brock, Md, Pc

LBN: Jay David Brock, Md, Pc
Jay David Brock, Md, Pc is an health care organization with primary practice located at 4304 Lafayette Blvd , Fredericksburg VA 22408-4234. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jay David Brock, Md, Pc can be contacted via phone (540) 891-5600, or through Brock, Jay D. via phone (540) 891-5600.

Contact Information

Primary practice address
4304 Lafayette Blvd Fredericksburg VA 22408-4234
Phone: (540) 891-5600
Fax: (540) 891-9034
Website:
Map and Directions
Authorized official contact:
Name: Brock, Jay D. Doctor of Medicine (MD)
Phone: (540) 891-5600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101032059 Virginia

Profile Details

NPI number 1053359968
LBN Legal business name Jay David Brock, Md, Pc
DBA Doing business as
Authorized official Brock, Jay D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated May 3rd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053359968 NPPES
Virginia MEDICAID 5690803

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