Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN WILLIAM CERAL BROCK, MD, PHD
ActiveJONATHAN WILLIAM CERAL BROCK, MD, PHD is a Pediatrics healthcare provider located in WEST COLUMBIA, South Carolina. NPI 1417210279 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · WEST COLUMBIA, SC
Registration Details
- NPI Number
- 1417210279
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2012 (14.117079769867 yrs)
- Last Updated
- Jul 15, 2019
- License
-
MD34729 (SC)
Practice Information
- Address
-
2318A SUNSET BLVDWEST COLUMBIA, SC, 291694716Browse SC providers · Browse ZIP 29169
- Phone
- 8037969200
- Fax
- 8034620312
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in WEST COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| RONNIE W NEUBERG | MD | 1457328932 |
| DR. DOUGLAS E LUBEROFF | MD | 1700840030 |
| LARRY C SMITH II | MD | 1194737122 |
| DR. SARAH MEGHAN ARANT THOMPSON | MD | 1265641419 |
| ALICIA DAWKINS MCFARLAND | M.D. | 1780884700 |
| AMANDA LYNN GOODNO | MD | 1124330139 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.