JEFFREY MICHAEL BROCK (NPI# 1992966352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992966352 |
| Entity Type | Individual |
| Full Name | JEFFREY MICHAEL BROCK |
| Credential | M.D. |
| Practice Address |
212 3rd St Cheraw SC 29520-2648 |
| Mailing Address |
Po Box 1090 Hartsville SC 29551-1090 |
| Practice Telephone | 8435370961 |
| Mailing Telephone | 8438570111 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2017-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 31021 | SC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4301097004 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 310210 | 05 |
| Street Address |
212 3RD ST |
| City | CHERAW |
| State | SC |
| Zip Code | 29520-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912951161 | Sandhills Ambulance Service Inc | Ambulance | 212 3rd St, Cheraw, SC 29520-2648 | 2006-05-20 |
| 1336256072 | Lisa Gleason | Social Worker | 212 3rd St, Cheraw, SC 29520-2648 | 2006-08-25 |
| 1629183959 | Mary Cutchin | Advanced Practice Midwife | 212 3rd St, Cheraw, SC 29520-2648 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541824 | Gloria Curtis | Nurse's Aide | 2912 Wire 1 Rd, Cheraw, SC 29520 | 2019-07-29 |
| 1427419175 | New Perspective Life Center LLC | Case Management | 319 Chesterfiled Hwy #9, Cheraw, SC 29520 | 2016-03-09 |
| 1306203310 | Highly Favored LLC | Counselor | 65 Sanders Ln, Cheraw, SC 29520 | 2016-01-21 |
| 1962880690 | Butterfly Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1562 Fred Davis Road, Cheraw, SC 29520 | 2015-05-14 |
| 1912304387 | Wrights Care Services LLC | Community/Behavioral Health | 319 East Chesterfield Hwy, Cheraw, SC 29520 | 2014-12-01 |
| 1386994762 | Stefanie Deese | Pharmacist | 901 Market St., Cheraw, SC 29520 | 2012-09-13 |
| 1699952218 | Chesterfield Marlboro, Lp | General Acute Care Hospital | Highway 9 West, Cheraw, SC 29520 | 2008-01-25 |
| 1174678411 | Carolina Eye Associates, Inc. | Ophthalmology | 705 Chesterfield Hwy, Cheraw, SC 29520 | 2007-01-25 |
| 1619030855 | Horton Chiropractic Clinic of Cheraw, Pa | Chiropractor | 601 Diane Dr, Cheraw, SC 29520 | 2006-12-19 |
| 1700947835 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 104 Grace Lane, Cheraw, SC 29520 | 2006-12-13 |
| Find all providers in zip 29520 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558745364 | Mcleod Family Medicine Pa | Family Medicine | 110 Doctors Dr Ste B2, Cheraw, SC 29520-7112 | 2015-07-13 |
| 1497800957 | Frank F. Hyatt | Family Medicine | 312 Peachtree Rd, Cheraw, SC 29520-6210 | 2007-01-24 |
| 1184686875 | Travis Andrew Novinger | Family Medicine | 316 2nd St, Cheraw, SC 29520-2404 | 2006-04-06 |
| 1326509324 | Eric Mclaine | Family Medicine | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2019-03-31 |
| 1518349158 | Garrett Barton | Family Medicine | 710 Chesterfield Hwy, Cheraw, SC 29520 | 2015-06-19 |
| 1346632817 | Mcleod Physician Associates II | Family Medicine | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2015-02-20 |
| 1407182371 | Mcleod Family Medicine Pa | Family Medicine | 110 Doctors Dr, Ste B2, Cheraw, SC 29520-7112 | 2009-10-27 |
| 1154480028 | John F Mcleod IIi | Family Medicine | 110 Doctors Dr, Ste B-2, Cheraw, SC 29520-7112 | 2006-12-07 |
| 1154489706 | Chesterfield Clinic Corp | Family Medicine | 34 Foundry Hill Rd, Cheraw, SC 29520-2500 | 2006-12-05 |
| 1932291242 | Palmetto Family Medicine of Chesterfield County, LLC | Family Medicine | 316 2nd St, Cheraw, SC 29520-2404 | 2006-09-28 |
| Find all providers in CHERAW | ||||
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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.