Individual provider · Type 1 NPI

Jack Gilbert Brock Jr., MD

Diagnostic Radiology Physician · Charlotte, NC

NPI number 1285607770 Active

Practice location

700 E Morehead St, Ste 300
Charlotte, NC 28202-2788

Fax (704) 414-7512

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X9301 (SC)
Diagnostic Radiology Physician Primary 2085R0202X2000-01076 (NC)
Diagnostic Radiology Physician 2085R0202X0101036308 (VA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1285607770

Jack Gilbert Brock Jr., MD's National Provider Identifier is 1285607770, issued on Feb 7, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Charlotte, NC. The record was last updated on Dec 20, 2017.