JAY DAVID BROCK, MD, PC
NPI 1053359968
Family Medicine in Fredericksburg, VA

Active since June 03, 2006
4304 LAFAYETTE BLVD, FREDERICKSBURG, VA 22408(540) 891-5600(540) 891-9034 Get Directions Write a Review

NPPES record last updated: May 3, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jay David Brock, Md, Pc NPPES

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

JAY DAVID BROCK, MD, PC (NPI 1053359968) is a healthcare organization registered as a family medicine in Fredericksburg, Virginia and active in the NPI registry since June 2006. The organization lists Jay D. Brock, Physician, as its authorized official.

NPPES Registry Identity

NPI1053359968
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJAY DAVID BROCK, MD, PC
Location Address4304 LAFAYETTE BLVDFredericksburg, VA 22408-4234
Mailing Address4304 Lafayette BlvdFredericksburg, VA 22408-4234 · (540) 891-5600 · Fax (540) 891-9034
Fax(540) 891-9034
Organization SubpartNo
Authorized OfficialJay D. BrockPhysician · (540) 891-5600
Enumeration DateJune 3, 2006
Last NPPES UpdateMay 3, 2010
NPI 1053359968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101032059
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 is not limited by age, sex, organ system, or disease entity.

4304 LAFAYETTE BLVD, Fredericksburg, VA 22408

Other Identifiers 2

Medicaid5690803VA
Medicare PIN081953178VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Specialist
4304 LAFAYETTE BLVD
FREDERICKSBURG, VA 22408
Psychiatry & Neurology (Psychiatry)
4304 LAFAYETTE BLVD
FREDERICKSBURG, VA 22408
Family Medicine
4304 LAFAYETTE BLVD
FREDERICKSBURG, VA 22408
Specialist
4304 LAFAYETTE BLVD
FREDERICKSBURG, VA 22408
Specialist
4304 LAFAYETTE BLVD
FREDERICKSBURG, VA 22408

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 Jay David Brock, MD, PC's NPI number?

The NPI number for Jay David Brock, MD, PC is 1053359968. It was assigned to this organization in the NPPES registry on June 3, 2006.

Where is Jay David Brock, MD, PC located?

Jay David Brock, MD, PC is located at 4304 Lafayette Blvd, Fredericksburg, VA 22408. The listed phone number is (540) 891-5600.

What is Jay David Brock, MD, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jay David Brock, MD, PC was last updated on May 3, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.