Jeffrey Michael Brock, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31021 Issued in SC

Practice address

812 State Rd
Cheraw, SC 29520-7113

Phone

(843) 537-0961

Fax

(843) 537-0908

NPI assigned

Jun 18, 2008

Last updated

Mar 20, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caresouth Carolina Inc.Group PAC ID 1052221314, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health-Pee Dee Home health agency, Florence, SC, CCN 427854
• Gentiva Hospice, Aiken, SC, CCN 421552
• McLeod Health Cheraw Hospital, Cheraw, SC, CCN 420107

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffrey.brock@csci.eclinicaldirectplus.com

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.

• Caresouth Carolina, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartsville, SC
  • NPI 1720082571
  Medicare reassignment Care Compare group NPD
• Caresouth Carolina, Inc.

  • Federally Qualified Health Center (FQHC)
  • McColl, SC
  • NPI 1811930076
  NPD
• Caresouth Carolina, Inc

  • Federally Qualified Health Center (FQHC)
  • Society Hill, SC
  • NPI 1194763714
  NPD (past)
• Caresouth Carolina, Inc

  • Federally Qualified Health Center (FQHC)
  • Cheraw, SC
  • NPI 1285677443
  NPD (past)
• Doctors Care, PA

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1366499048
  NPD (past)

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

• Capital Care Resources of South Carolina, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Florence, SC
  • NPI 1528433521
  Care Compare affiliation
• McLeod Health Cheraw

  • General Acute Care Hospital
  • Cheraw, SC
  • NPI 1902283740
  Care Compare affiliation
• Regency Hospice of Georgia, LLC

  dba Gentiva

  • Community Based Hospice Care Agency
  • Aiken, SC
  • NPI 1003864869
  Care Compare affiliation

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1992966352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295511090",
            "telephone_number": "843-857-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 STATE RD",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295207113",
            "telephone_number": "843-537-0961",
            "fax_number": "843-537-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301097004",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "31021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridges & James, Inc
• Bridges & James, Inc (Wannamaker Drug)
• Bridges & James, Inc (Wannamaker Drug)
• Jonathan Christopher Bridges, RPH
• Jonathan Cuentin Bridges, PHARM D
• Brothers of Peace, Inc
• Kwame Agyapong Brown, DO
• Tracey Rogers Brunson, PTA
• Kay S. Bullard, O.D.
• Ben E Burnett, CRNA

• Family Medicine Physician in Cheraw, SC
• Providers in Cheraw, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.