Active NPI
Evan Bullock
- Paramedic
- Louisville, KY
National Provider Identifier
1396659801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 1054068
- Practice address
- 602 Plainview Ave
Louisville, KY 40223-2549 - Phone
- (270) 300-5464
- NPI assigned
- Oct 1, 2026
- Last updated
- Oct 1, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Paramedic | 146L00000X | 1054068 | KY | Primary |
Addresses
Primary practice location
602 Plainview Ave
Louisville, KY 40223-2549
Mailing address
602 Plainview Ave
Louisville, KY 40223-2549
Phone (270) 300-5464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1396659801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 PLAINVIEW AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402232549",
"telephone_number": "270-300-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 PLAINVIEW AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402232549",
"telephone_number": "270-300-5464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLOCK",
"first_name": "EVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-01",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "KY",
"license": "1054068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.