| Dr Charles E Brock Jr, MD | |
|
810 E Sunflower Rd, Cleveland, MS 38732-2800 | |
| (662) 843-3606 | |
| Not Available |
| Full Name | Dr Charles E Brock Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 810 E Sunflower Rd, Cleveland, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689761280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11341 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sunflower Home Health | Cleveland, MS | Home health agency |
| Adoration Home Health Care Mississippi | Cleveland, MS | Home health agency |
| Mid Delta Home Health Agency | Belzoni, MS | Home health agency |
| Bolivar Medical Center | Cleveland, MS | Hospital |
| Yalobusha General Hospital | Water valley, MS | Hospital |
| North Sunflower Medical Center Cah | Ruleville, MS | Hospital |
| Mississippi Methodist Rehab Ctr | Jackson, MS | Hospital |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bolivar Physician Practices Llc | 6305995895 | 17 |
| Entity Name | Bolivar Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063659530 PECOS PAC ID: 6305995895 Enrollment ID: O20090512000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles E Brock Jr, MD 498 Hillcrest Cir, Cleveland, MS 38732-2008 Ph: (662) 843-1433 | Dr Charles E Brock Jr, MD 810 E Sunflower Rd, Cleveland, MS 38732-2800 Ph: (662) 843-3606 |
Dr. Nate Brown, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 South Davis St, Cleveland, MS 38732 Phone: 662-843-7299 Fax: 662-843-0010 | |
Dr. David Walt, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732 Phone: 662-843-3606 Fax: 662-846-1194 | |
Dr. Don Blackwood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 1st St, Cleveland, MS 38732 Phone: 662-843-2721 | |
Dr. Scott Nelson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 907 E Sunflower Rd, Ste 101, Cleveland, MS 38732 Phone: 662-721-1399 Fax: 662-721-1380 | |
Dr. Degail Jamar Hadley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Sunflower Rd, Cleveland, MS 38732 Phone: 662-441-2309 Fax: 662-545-4320 | |
Dr. Paul Warrington, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 810 E Sunflower Rd, Suite 100a, Cleveland, MS 38732 Phone: 662-843-3606 Fax: 662-846-1194 |