LEE R BROCK MD (NPI# 1497991830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497991830 |
| Entity Type | Organization |
| Organization Name | LEE R BROCK MD |
| Practice Address |
4304 Lafayette Blvd Fredericksburg VA 22408-4234 |
| Practice Telephone | 5408914444 |
| Practice Fax Number | 5408919034 |
| Mailing Telephone | 5408914444 |
| Mailing Fax Number | 5408919034 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | LEE R BROCK (MEDICAL DOCTOR) |
| Authorized Official Telephone | 5408914444 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
4304 LAFAYETTE BLVD |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408-4234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721207 | Jay David Brock | Family Medicine | 4304 Lafayette Blvd, Fredericksburg, VA 22408-4234 | 2005-09-26 |
| 1063444792 | Lee R Brock | Specialist | 4304 Lafayette Blvd, Fredericksburg, VA 22408-4234 | 2006-07-06 |
| 1053359968 | Jay David Brock, Md, PC | Family Medicine | 4304 Lafayette Blvd, Fredericksburg, VA 22408-4234 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295693 | Wild: Women and Infants Long-term Development, LLC | Clinic/Center | 1003 Mahone St, Fredericksburg, VA 22401-6214 | 2020-04-30 |
| 1689142127 | Tracy Byerly II, Md Pa | Clinic/Center | 205 W Windcrest St Ste 210, Fredericksburg, TX 78624-4480 | 2018-11-02 |
| 1124304894 | Centre Pointe Health- Psychiatric Services | Clinic/Center | 3920 Plank Rd, Suite 120, Fredericksburg, VA 22407-7104 | 2011-10-26 |
| 1023396892 | Fredericksburg Area Regional Health Council | Clinic/Center | 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401-8420 | 2011-07-28 |
| 1285968701 | Fredericksburg Women's Health Associates | Clinic/Center | 1300 Hospital Dr, Suite 300, Fredericksburg, VA 22401-3375 | 2009-09-30 |
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| 1770122723 | Colonial Beach Health & Wellness Inc | Clinic/Center | 700 Mckinney Blvd Ste 1100, Colonial Beach, VA 22443-1934 | 2019-12-21 |
| 1104461896 | Lung Specialists of Tidewater Pllc | Clinic/Center | 224 Avonlea Pointe, Chesapeake, VA 23322-4279 | 2019-11-17 |
| 1053952846 | Mediluxe | Clinic/Center | 19349 Diamond Lake Dr, Leesburg, VA 20176-6596 | 2019-10-02 |
| 1720639503 | Javan Wellness Ballston LLC | Clinic/Center | 4000 Wilson Blvd Ste D, Arlington, VA 22203-4401 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.