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

Dr. Charles E Brock Jr., MD

Individual provider Family Medicine Physician · NPI 1689761280

Dr. Charles E Brock Jr., MD is a Family Practice in Cleveland, Mississippi. Graduated from University of Mississippi School of Medicine in 1986, 40 years ago. Practices with Bolivar Physician Practices LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
40
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

810 E Sunflower Rd
Cleveland, MS 38732-2800
Phone: (662) 843-3606
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11341 (MS)

Record details

NPI number1689761280
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 6, 2006
Last updated in NPPESJuly 8, 2007
Mailing address498 Hillcrest Cir, Cleveland, MS 38732-2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Bolivar Physician Practices Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Cleveland