Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan William Ceral Brock, MD, PHD

Individual provider Pediatrics Physician · NPI 1417210279

Jonathan William Ceral Brock, MD, PHD is a Pediatrics Physician in West Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2012.

Licensed in
SC
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2318A Sunset Blvd
West Columbia, SC 29169-4716
Phone: (803) 796-9200
Fax: (803) 462-0312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD34729 (SC)

Record details

NPI number1417210279
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedJune 18, 2012
Last updated in NPPESJuly 15, 2019

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