Wellformed AI

NPI 1962546366 · live from the CMS NPI Registry

Jeremy S. Bock, MD

Internal Medicine, Interventional Cardiology in Leesburg, VA. National Provider Identifier 1962546366, active.

NPI record

NPI1962546366 Type 1 · individual
StatusActive
Primary specialtyInternal Medicine, Interventional Cardiology 207RI0011X
Practice location44035 Riverside Pkwy Ste 400, Leesburg, VA 20176
Practice phone703-858-5421
Mailing address2901 Telestar Ct Ste 300, Falls Church, VA 22042
EnumeratedFebruary 18, 2007
Last updatedSeptember 2, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Cardiovascular Disease207RC0000X0101258619 (VA)
Internal Medicine, Interventional Cardiology primary207RI0011X0101258619 (VA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.