Timothy Keith Bullock, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

24255 Issued in AL

Practice address

860 Montclair Rd
Suite 758
Birmingham, AL 35213-1923

Phone

(205) 930-8020

Fax

(205) 930-8024

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Alabama School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincent's Birmingham Hospital, Birmingham, AL, CCN 010056
• Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DHP of Alabama PC

  • Surgery Physician
  • Birmingham, AL
  • NPI 1497187207

  Single Specialty

  Medicare reassignment NPD
• Surgical Associates. P.C.

  • Surgery Physician
  • Birmingham, AL
  • NPI 1821065285

  Single Specialty

  Medicare reassignment NPD
• Surgical Associates, P.C.

  • Surgery Physician
  • Birmingham, AL
  • NPI 1518140219

  Single Specialty

  NPD
• Varicosity LLC

  • Vascular Surgery Physician
  • Birmingham, AL
  • NPI 1114968575

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• BBH BMC, LLC

  dba Baptist Health Brookwood Hospital

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1003260480
  Care Compare affiliation
• St. Vincent's Birmingham

  dba Ascension St. Vincent's Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1841298999
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1144295130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD",
            "address_2": "SUITE 501",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096862",
            "telephone_number": "205-930-8010",
            "fax_number": "205-930-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 MONTCLAIR RD",
            "address_2": "SUITE 758",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131923",
            "telephone_number": "205-930-8020",
            "fax_number": "205-930-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "TIMOTHY",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "24255",
            "primary": true
        },
        {
            "code": "193400000X",
            "taxonomy_group": "",
            "desc": "Single Specialty",
            "state": "AL",
            "license": "24255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Smith Bull, CRNP
• Cara Bullard, PT
• John C. Bullington III, M.D.
• Payton E Bullington
• Stacie Maree Bullock, CRNP
• Hailey Waddell Bulls, PHD
• Jolisa Michelle Bumpers, RN
• Randy Darrell Bumpers, NP-C
• Amber Michelle Bunch, CRNP
• Sara Victoria Bunemann, ATC, MED

• Surgery Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.