DR. CHARLES E BROCK JR. (NPI# 1689761280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689761280 |
| Entity Type | Individual |
| Full Name | DR. CHARLES E BROCK JR. |
| Credential | M.D. |
| Practice Address |
810 E Sunflower Rd Cleveland MS 38732-2800 |
| Mailing Address |
498 Hillcrest Cir Cleveland MS 38732-2008 |
| Practice Telephone | 6628433606 |
| Mailing Telephone | 6628431433 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11341 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386747483 | Charles A Brock | Optometrist | 790 Montgomery Hwy Ste 110, Vestavia Hills, AL 35216-1873 | 2006-09-06 |
| 1245697069 | Charles Brock | Counselor | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2016-01-25 |
| 1871516021 | Charles Brock | Psychiatry & Neurology | 12901 Bruce B Downs Blvd, Tampa, FL 33612-4742 | 2006-07-26 |
| Street Address |
810 E SUNFLOWER RD |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831168350 | Paul Warrington | Family Medicine | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2006-03-16 |
| 1104332089 | Clare Adams Moore | Nurse Practitioner | 810 E Sunflower Rd, Cleveland, MS 38732-2800 | 2017-12-14 |
| 1366966228 | Matthew Jackson Mosow | Physical Medicine & Rehabilitation | 810 E Sunflower Rd, Suite 150, Cleveland, MS 38732 | 2017-08-01 |
| 1518394287 | Urgent Team Management of Cleveland, LLC | Clinic/Center | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2013-09-26 |
| 1467794578 | The Medical Technology Institute | Nurse Practitioner | 810 E Sunflower Rd, Suite J, Cleveland, MS 38732-2800 | 2013-03-27 |
| 1902176373 | Long Chiropractic Pllc | Chiropractor | 810 E Sunflower Rd, Suite 100 E, Cleveland, MS 38732-2800 | 2012-01-03 |
| 1184994634 | Joy Victoria Long | Chiropractor | 810 E Sunflower Rd, Suite 100e, Cleveland, MS 38732-2800 | 2011-12-30 |
| 1235414145 | Melanie King | Nurse Practitioner | 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732-2800 | 2011-10-12 |
| 1639477425 | Mary Cay Brooks Ely | Nurse Practitioner | 810 E Sunflower Rd, Ste 140, Cleveland, MS 38732-2800 | 2011-03-03 |
| 1851620249 | Vascular Access Center of Bolivar County LLC | Radiology | 810 E Sunflower Rd, Suite 100b, Cleveland, MS 38732-2800 | 2009-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| 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 |
|---|---|---|---|---|
| 1417577537 | Eduardo Trevino | Family Medicine | 3009 Midfield Cir Se, Cleveland, TN 37323-0554 | 2020-04-18 |
| 1518429240 | Care Alliance | Family Medicine | 4050 Superior Ave Fl 3, Cleveland, OH 44103-1128 | 2019-04-02 |
| 1659808236 | Tara K Iyer | Family Medicine | Women's Health Institute 9500 Euclid Ave A81, Cleveland, OH 44195-0001 | 2017-05-15 |
| 1972958072 | Matthew Novin | Family Medicine | 15105 St Clair Ave, Cleveland, OH 44110-1111 | 2016-04-27 |
| 1235519166 | Michelle Caster | Family Medicine | 11100 Euclid Ave # B200, Cleveland, OH 44106 | 2015-06-05 |
| 1437545720 | Keisha Danielle Sullivan | Family Medicine | 11100 Euclid Ave Fl Bolwell6, Cleveland, OH 44106 | 2015-04-13 |
| 1356747679 | Rmi Holding Corporation, Inc | Family Medicine | 3854 Candies Creek Ln Nw, Cleveland, TN 37312-1863 | 2014-11-13 |
| 1326450123 | Anna Camille Moreno | Family Medicine | 9500 Euclid Ave # A1-854, Cleveland, OH 44195-1101 | 2014-05-28 |
| 1568874816 | Garrett L Kirkpatrick | Family Medicine | The Cleveland Clinic Foundation 9500 Euclid Ave, Cleveland, OH 44195-4420 | 2014-05-21 |
| 1104250448 | Aaron Doss Samuel | Family Medicine | 3178 Chestnut Cir Nw, Cleveland, TN 37312-2137 | 2013-08-22 |
| Find all providers in CLEVELAND | ||||
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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.