Provider Type Icon

NEAL M BULLOCK DPM NPI 1902912793


NPI Information

NPI: 1902912793
Provider Name: NEAL M BULLOCK, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Organization: NEAL M BULLOCK DPM PA

PECOS Registration: Yes

CLIA Number: 10D2177228

Address:
17013 PINES BLVD
PEMBROKE PINES, FL
ZIP 33027
Phone: (954) 450-4200
Get Directions

Neal M Bullock, DPM is a podiatrist in Pembroke Pines, FL with 29 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Neal M Bullock, DPM NPI is 1902912793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1995

The provider's business location address is:

17013 PINES BLVD
PEMBROKE PINES, FL
ZIP 33027-003
Phone: (954) 450-4200
Fax: (954) 450-4237

The NPI 1902912793 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The CLIA number assigned to this NPI record is 10D2177228 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from wounds per session (HCPCS:97597)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)

The enumeration date for this NPI number is 8/22/2006 and was last updated on 5/20/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristPO0002571FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165515AMEDICARE ID-TYPE UNSPECIFIEDFLORIDA
21298140001MEDICARE NSCFLORIDA
3U68052MEDICARE UPINFLORIDA
4390394000MEDICAIDFLORIDA
565515OTHERFLORIDABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.