Active NPI
Valerie Jane Bullock, M.D.
- Family Medicine Physician
- Cincinnati, OH
National Provider Identifier
1356784532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.149358
- Practice address
- 6400 E Galbraith Rd
Cincinnati, OH 45236-2268 - Phone
- (513) 791-5521
- Fax
- (513) 342-5395
- NPI assigned
- Apr 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.149358 | OH | Primary |
Addresses
Primary practice location
6400 E Galbraith Rd
Cincinnati, OH 45236-2268
Mailing address
6400 E Galbraith Rd
Cincinnati, OH 45236-2268
Phone (513) 791-5521
Other names 1
- Valerie Jane Ebel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 8, 2024 through Apr 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.149358 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Institute for Integrative Medicine, LLC | Current | Accepting new patients | |
| University of Cincinnati Physicians Company, LLC | Family Medicine | Past | Accepting new patients |
Locations
6400 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 791-5521
Organizations & group practices 2
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.
-
- Specialist
- Cincinnati, OH
- NPI 1881752400
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1356784532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 E GALBRAITH RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362268",
"telephone_number": "513-791-5521",
"fax_number": "513-342-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 E GALBRAITH RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362268",
"telephone_number": "513-791-5521",
"fax_number": "513-342-5395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLOCK",
"first_name": "VALERIE",
"middle_name": "JANE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-08",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.149358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VALERIE",
"last_name": "EBEL",
"middle_name": "JANE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.