Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jay David Brock, MD, PC

Organization Family Medicine Physician · NPI 1053359968

Jay David Brock, MD, PC is a Family Medicine Physician 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
Phone: (540) 891-5600
Fax: (540) 891-9034
Show map & directions

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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