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JONATHAN WILLIAM CERAL BROCK MD, PHD
NPI 1417210279
Pediatrics in West Columbia, SC

Active since June 18, 2012
2318A SUNSET BLVD, WEST COLUMBIA, SC 29169(803) 796-9200(803) 462-0312 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan William Ceral Brock Md, Phd NPPES

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

JONATHAN WILLIAM CERAL BROCK MD, PHD (NPI 1417210279) is an individual pediatrics provider in West Columbia, South Carolina, licensed in South Carolina (MD34729) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1417210279
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJONATHAN WILLIAM CERAL BROCKCredential: MD, PHD
Location Address2318A SUNSET BLVDWest Columbia, SC 29169-4716
Mailing Address601 Clemson RdColumbia, SC 29229-4341 · (803) 788-6146 · Fax (803) 462-0312
Phone(803) 796-9200
Fax(803) 462-0312
Sole ProprietorNo
Enumeration DateJune 18, 2012
Last NPPES UpdateJuly 15, 2019
✔ NPI 1417210279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · MD34729
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2318A SUNSET BLVD, West Columbia, SC 29169
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Other Providers at the Same Location NPPES

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

ALICIA DAWKINS MCFARLAND M.D.
Pediatrics
2318A SUNSET BLVD
WEST COLUMBIA, SC 29169
Lexington County (803) 796-9200

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 Jonathan Brock's NPI number?

The NPI number for Jonathan Brock is 1417210279. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Jonathan Brock located?

Jonathan Brock practices at 2318A Sunset Blvd, West Columbia, SC 29169. The listed phone number is (803) 796-9200.

What is Jonathan Brock's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Jonathan Brock accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and UnitedHealthcare list Jonathan Brock 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 Jonathan Brock was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.