B Tullos MD LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

B TULLOS MD LLC

Practice address

11560 Hillcrest Rd
Gulfport, MS 39503-6114

Phone

(601) 529-4177

NPI assigned

Jul 23, 2024

Last updated

Jul 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bobby Tullos, MDNPI 1841554250

Title

Physician

Phone

(601) 529-4177

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bobby W Tullos, M.D.

  • Pulmonary Disease Physician
  • Gulfport, MS
  • NPI 1841554250

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1649008509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 HILLCREST RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036114",
            "telephone_number": "601-529-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 HILLCREST RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036114",
            "telephone_number": "601-529-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B TULLOS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "TULLOS",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "601-529-4177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swashna Avneeta, MD
• Mohammed I Awaad, MD
• Awakenings, PA
• Nabil Azar, M.D.
• B & B Homecare Services LLC
• Lissa Kelly Baber, AGACNP
• Back Room
• Betty Bailey, M.D.
• Chelsea Bailey, DPT
• David Jason Bailey, MD

• Long Term Care Hospital in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Long Term Care Hospital in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.