Gerald F Bulloch, MD, PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

GERALD F BULLOCH, MD, PA

Doing business as

Dallas Cardiovascular Institute

Practice address

221 W Colorado Blvd
Pavilion 1 - Suite 545
Dallas, TX 75208-2363

Phone

(214) 941-9100

Fax

(214) 941-1949

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Gerald F Bulloch, MDNPI 1700829744

Title

Managing Partner / Owner

Phone

(214) 941-9100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dallas Cardiovascular Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald F Bulloch, MD

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1700829744
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1417996315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD",
            "address_2": "PAVILION 1 - SUITE 545",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082363",
            "telephone_number": "214-941-9100",
            "fax_number": "214-941-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD",
            "address_2": "PAVILION 1 - SUITE 545",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082363",
            "telephone_number": "214-941-9100",
            "fax_number": "214-941-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD F BULLOCH, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "BULLOCH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGING PARTNER / OWNER",
        "authorized_official_telephone_number": "214-941-9100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00TT84",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Cardiovascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elias L Georgopoulos, O.D.
• Stephanie Georgoudiou, ARNP
• John M Georgy, DO
• Thomas D Geppert, M.D.
• Samia Geraghty, LPC
• Cameron A Gerard, MD
• Quin Gerard, M.D.
• Diana Dennis Yelena Gerardino Medina
• Andrew Addison Gerber, MD
• Andrew Steven Gerber, MD

• Cardiovascular Disease Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.