Joseph D. Bullock, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

35-03-0076 Issued in OH

Practice address

8080 Ravines Edge CT
Columbus, OH 43235-5424

Phone

(614) 846-5944

Fax

(614) 846-6504

NPI assigned

Jan 23, 2006

Last updated

Nov 15, 2007By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1467432666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 RAVINES EDGE CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355424",
            "telephone_number": "614-846-5944",
            "fax_number": "614-846-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 RAVINES EDGE CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355424",
            "telephone_number": "614-846-5944",
            "fax_number": "614-846-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "JOSEPH",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35-03-0076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105586",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Bull, PHARMD, RPH
• Lakianashauntavia Ashinae Bullard
• Megan E Buller, MD
• Carolyn R Bullock, D.O.
• Jennifer Zane Bullock, MD
• Thomas R. Bullock, M.D.
• Kristy Lynn Bultema, D.D.S.
• Meridith Bumb, RN
• Ginny L. Bumgardner, MD, PHD
• Morgan Bumgarner, MSW, LSW

• Allergy & Immunology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Allergy & Immunology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.