Charles Buckley Gillock, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0101047505 Issued in VA

Practice address

24 Gloucester Rd
Stuarts Draft, VA 24477-3321

Phone

(540) 337-3710

Fax

(540) 337-0930

NPI assigned

Oct 11, 2005

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• C Buckley Gillock Professional name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

Virginia Commonwealth University, School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University of Virginia Physicians GroupGroup PAC ID 4880590728, 1,685 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009
• Augusta Health Hospital, Fishersville, VA, CCN 490018
• Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004
• Carilion Stonewall Jackson Hospital Hospital, Lexington, VA, CCN 491304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cgillock501910@direct.healthsystem.virginia.edu
• Direct secure messaging: charlesgillock@bru.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  Medicare reassignment Care Compare group NPD
• Blue Ridge Urological, PC

  • Urology Physician
  • Rockingham, VA
  • NPI 1528394228
  Medicare reassignment NPD
• Blue Ridge Urological Assoc., PC

  • Urology Physician
  • Fishersville, VA
  • NPI 1194746289
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Augusta Health Care, Inc

  dba t/a Augusta Health

  • General Acute Care Hospital
  • Fishersville, VA
  • NPI 1053301127
  Care Compare affiliation
• Carilion Rockbridge Community Hospital

  • Hospitalist Physician
  • Lexington, VA
  • NPI 1023663002
  Care Compare affiliation
• Carilion Rockbridge Community Hospital

  • Critical Access Hospital
  • Lexington, VA
  • NPI 1518950484
  Care Compare affiliation
• Carilion Rockbridge Community Hospital

  • Multi-Specialty Clinic/Center
  • Lexington, VA
  • NPI 1750936977

  Hospital

  Care Compare affiliation
• Carilion Rockbridge Community Hospital

  • Emergency Medicine Physician
  • Lexington, VA
  • NPI 1942854427

  Hospital

  Care Compare affiliation
• Rector & Visitors of the University of Virginia

  dba UVA Health Sciences Center

  • General Acute Care Hospital
  • Charlottesville, VA
  • NPI 1780630608
  Care Compare affiliation
• Sentara RMH Medical Center

  • General Acute Care Hospital
  • Harrisonburg, VA
  • NPI 1780694372
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1053309229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749112",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GLOUCESTER RD",
            "city": "STUARTS DRAFT",
            "state": "VA",
            "postal_code": "244773321",
            "telephone_number": "540-337-3710",
            "fax_number": "540-337-0930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Medical Center Cir",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392273",
            "country_code": "US",
            "telephone_number": "540-332-5926",
            "fax_number": "540-332-5930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLOCK",
        "first_name": "CHARLES",
        "middle_name": "BUCKLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101047505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007501188",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANTHEM",
            "identifier": "279040",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C",
            "last_name": "GILLOCK",
            "middle_name": "BUCKLEY",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anna Fisher
• Andrew Fontaine, MD
• Jesse Foster, PHARMD
• Mallory E Fox, DNP,FNP-C
• Kate Humphreys Funk, FNP
• Janna Leigh Grapperhaus, CPM
• Nathan Hall
• Rachael Harlow, RESIDENT
• Mohsen Hassanein
• Dennis L. Hatter, M.D.

• Urology Physician in Stuarts Draft, VA
• Providers in Stuarts Draft, VA by specialty
• Urology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.