Individual provider Active NPI

Emily Claire Bullock, MD

  • Obstetrics & Gynecology Physician
  • Shenandoah, TX
National Provider Identifier
1396841383
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
11111 Issued in TX
Practice address
9200 Pinecroft Dr
Suite 400
Shenandoah, TX 77380-3279
Phone
(281) 602-6888
Fax
(281) 292-5780
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 11111 TX Primary

Addresses

Primary practice location

9200 Pinecroft Dr
Suite 400
Shenandoah, TX 77380-3279

Mailing address

9200 Pinecroft Dr
Suite 400
Shenandoah, TX 77380-3279
Phone (281) 602-6888

Other names 1

  • Dr. Emily Claire Sotelo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20080825000141 TX Practitioner - Obstetrics/Gynecology 6901971043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

16945 Northchase Dr
Suite 2150
Houston, TX 77060-2153
Phone (800) 967-2289

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11111TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jul 1, 2015 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Jul 1, 2024 Accepting new patients
Privia Medical Group Gulf Coast, PLLC Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

16945 Northchase Dr
Ste 2150
Houston, TX 77060

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

16651 Southwest Fwy
Ste 200
Sugar Land, TX 77479
Phone (281) 491-1177

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1396841383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR",
            "address_2": "SUITE 400",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803279",
            "telephone_number": "281-602-6888",
            "fax_number": "281-292-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR",
            "address_2": "SUITE 400",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803279",
            "telephone_number": "281-602-6888",
            "fax_number": "281-292-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "EMILY",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "11111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SOTELO",
            "middle_name": "CLAIRE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.