Gary Morgan Bullock, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO-729 Issued in AL

Practice address

430 Emory Drive
Ste 700
Hoover, AL 35244

Phone

(205) 987-4044

Fax

(205) 987-4966

NPI assigned

Sep 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Medical West Hospital Authority, an Affiliate of Uab Health System

  • General Acute Care Hospital
  • Bessemer, AL
  • NPI 1790896710
  NPD (past)
• Medical West Hospital Authority, an Affiliate of Uab Health System

  • Multi-Specialty Clinic/Center
  • Bessemer, AL
  • NPI 1952483729

  Family Medicine

  NPD (past)
• Singing River Healthcare, LLC

  • General Practice Physician
  • Florence, AL
  • NPI 1013330216
  NPD (past)
• Sylacauga Family Health Center L.L.C

  • Clinic/Center
  • Sylacauga, AL
  • NPI 1316962228
  NPD (past)

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1306948898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 EMORY DRIVE",
            "address_2": "STE 700",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "205-987-4044",
            "fax_number": "205-987-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 EMORY DRIVE",
            "address_2": "STE 700",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "205-987-4044",
            "fax_number": "205-987-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "GARY",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO-729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIORS FIRST",
            "identifier": "50369",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COMPLETE",
            "identifier": "0112855",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051539246",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941834",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA HEALTH",
            "identifier": "H44865",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lajuana H Buchina, RPT
• Luther Graham Bufford, LPC, NCC, BC-TMH
• Build Physical Therapy and Performance LLC
• Maria Paula Buitrago Diaz, RD
• Bullock Preventive and Family Medicine, LLC
• Michele Bender Bullock, LPC, MFTA
• Kendall Alexis Bungo, RBT
• Racquel Danielle Burch, RDN
• Burge Psychological Services
• Sara Susanne Burks, PHARMD

• Family Medicine Physician in Hoover, AL
• Providers in Hoover, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.