Bullock Immediate Care LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BULLOCK IMMEDIATE CARE LLC

Practice address

5303 Vaughn Road
Montgomery, AL 36116-1120

Phone

(334) 386-0343

Fax

(334) 386-0382

NPI assigned

Oct 21, 2010

Last updated

Oct 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Victoria Francis Lawrenson

Title

Managing Partner

Phone

(334) 386-0343

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1235449422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 VAUGHN ROAD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161120",
            "telephone_number": "334-386-0343",
            "fax_number": "334-386-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 VAUGHN ROAD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161120",
            "telephone_number": "334-386-0343",
            "fax_number": "334-386-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLOCK IMMEDIATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "LAWRENSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "334-386-0343",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary W Buford, RD
• Victoria Buford
• Roy Harrell Bullard, DMD
• Max Blane Bullen
• Bullock Family Care Center LLC
• Cassidy Moses Bumgardner, PHARM.D.
• Karla Spurlin Bundy, RPH
• Lisa Munsch Bundy, M.D.
• Sanfra Bunke, CRNA
• Andrew Joseph Burandt, D.O.

• General Practice Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.