CHARLES E. BROCK, JR. M.D. – NPI #1689761280
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

CHARLES BROCK, JR. is a physician located in CLEVELAND, MS. NPPES has assigned the NPI number 1689761280 to CHARLES BROCK, JR. on October 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES BROCK, JR. below.

NPI Profile for
CHARLES E. BROCK, JR.

NPI Number
1689761280
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES E. BROCK, JR.
Credentials
M.D.
Primary location
810 E SUNFLOWER RD
CLEVELAND, MS 38732-2800
Phone: (662) 843-3606 Fax:
Mailing address
498 HILLCREST CIR
CLEVELAND, MS 38732-2008
Phone: (662) 843-1433 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MS 11341

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE - Graduated 1986
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CHARLES BROCK, JR. is affiliated with the following medical group(s):
  • HOSPITAL
    • BOLIVAR MEDICAL CENTER
      901 E SUNFLOWER RD
      CLEVELAND, MS 38732
    • NORTH SUNFLOWER MEDICAL CENTER CAH
      840 NORTH OAK AVENUE
      RULEVILLE, MS 38771
    • YALOBUSHA GENERAL HOSPITAL
      630 SOUTH MAIN STREET
      WATER VALLEY, MS 38965
  • HOME HEALTH AGENCY
    • ACCENTCARE HOME HEALTH OF GREENWOOD
      205 WALTHALL STREET
      GREENWOOD, MS 38930
    • ADORATION HOME HEALTH CARE MISSISSIPPI
      803 EAST SUNFLOWER RD
      CLEVELAND, MS 38732
    • SUNFLOWER HOME HEALTH
      210 NORTH STREET
      CLEVELAND, MS 38732
  • HOSPICE
    • HOSPICE OF NORTH SUNFLOWER
      105 EAST FLOYCE STREET
      RULEVILLE, MS 38771

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