Jay David Brock, Md, Pc in Fredericksburg - Family Medicine
Jay David Brock, Md, Pc - NPI 1053359968
Jay David Brock, Md, Pc is a Family Medicine in Fredericksburg, Virginia. Jay David Brock, Md, Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jay David Brock, Md, Pc is 1053359968. The last update date is 2010-05-03.
Jay David Brock, Md, Pc's current location address is 4304 Lafayette Blvd, Fredericksburg, Virginia. You can contact this provider via phone number 5408915600 and fax number 5408919034. The mailing address for Jay David Brock, Md, Pc is 4304 Lafayette Blvd, Fredericksburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jay David Brock, Md, Pc |
|---|---|
| Address | 4304 Lafayette Blvd, Fredericksburg, Virginia |
| Phone Number | 5408915600 |
| Fax Number | 5408919034 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Brock D. Jay |
| Credentials | M.D. |
| Telephone Number | 5408915600 |
NPI Number Detail
| NPI Number | 1053359968 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2010-05-03 |
Provider Mailing Address Detail
| Address | 4304 Lafayette Blvd |
|---|---|
| City | Fredericksburg |
| State | Virginia (VA) |
| Post Code | 224084234 |
| Phone Number | 5408915600 |
| Fax Number | 5408919034 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 101032059 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5690803 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jay David Brock, Md, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Jay David Brock, Md, Pc has been assigned the NPI (National Provider Identifier) 1053359968. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Jay David Brock, Md, Pc is physically located?
The Jay David Brock, Md, Pc is situated at the following address: 4304 Lafayette Blvd, Fredericksburg, VA 224084234.
What is Jay David Brock, Md, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jay David Brock, Md, Pc is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
When did Jay David Brock, Md, Pc receive its 1053359968 assignment?
The Jay David Brock, Md, Pc was assigned its 1053359968 on 2006-06-03, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jay David Brock, Md, Pc most recently updated?
The details pertaining to the Jay David Brock, Md, Pc, including its address, specialty, and other relevant information, were last refreshed on 2010-05-03.