Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jay David Brock, MD, PC

Organization Family Medicine Physician · NPI 1053359968

Jay David Brock, MD, PC provides Family Medicine Physician services in Fredericksburg, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4304 Lafayette Blvd
Fredericksburg, VA 22408-4234 Not confirmed with CMS for 16 years — call before visiting
Phone: (540) 891-5600
Fax: (540) 891-9034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101032059 (VA)

Record details

NPI number1053359968
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Brock — Physician · (540) 891-5600
NPI enumeratedJune 3, 2006
Last updated in NPPESMay 3, 2010
Mailing address4304 Lafayette Blvd, Fredericksburg, VA 22408-4234

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