NPIMap

Individual provider Active NPI

Linda M. Bullock, DO

  • Internal Medicine Physician
  • Penn Valley, PA
National Provider Identifier
1649241001
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS008246L Issued in PA
Practice address
915 Montgomery Ave
4TH Floor
Penn Valley, PA 19072-1548
Phone
(610) 668-7992
Fax
(610) 668-7991
NPI assigned
Feb 1, 2006
Last updated
Sep 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS008246L PA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X OS008246L PA

Addresses

Primary practice location

915 Montgomery Ave
4TH Floor
Penn Valley, PA 19072-1548

Mailing address

915 Montgomery Ave
4TH Floor
Penn Valley, PA 19072-1548
Phone (610) 668-7992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000440 PA Practitioner - Internal Medicine 2365635174 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Value in Prevention of Pennsylvania LLCGroup PAC ID 4981079498, 5 clinicians
Karen Gardner DO PLLCGroup PAC ID 3476069881, 2 clinicians

Practice addresses (Care Compare)

2325 Heritage Ctr Dr
Suite 200
Furlong, PA 18925-1262
Phone (267) 247-5100

234 S Bryn Mawr Ave
Suite 101
Bryn Mawr, PA 19010-2133
Phone (484) 414-4136

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS008246LPAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Gardner DO PLLC Internal Medicine CurrentSince Oct 2, 2025 Accepting new patients
Value in Prevention of Pennsylvania, LLC Internal Medicine CurrentSince Jun 30, 2023 Accepting new patients
Main Line Healthcare Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Res Ventures, LLC Past Accepting new patients
Buckingham Primary Healthcare PastSince Jun 23, 2016 Accepting new patients

Locations

234 S Bryn Mawr Ave
Ste 101
Bryn Mawr, PA 19010
Phone (484) 414-4136

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

2325 Heritage Center Dr
Ste 200
Furlong, PA 18925
Phone (267) 247-5100

915 Montgomery Ave
Fl 4
Penn Valley, PA 19072
Phone (610) 668-7992

100 E Lancaster Ave
Ste 115
Wynnewood, PA 19096

Interoperability endpoints

  • Direct secure messaging: lbullock3830851@direct.trinity-health.org
  • Direct secure messaging: linda.bullock.1@32682.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1649241001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MONTGOMERY AVE",
            "address_2": "4TH FLOOR",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721548",
            "telephone_number": "610-668-7992",
            "fax_number": "610-668-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MONTGOMERY AVE",
            "address_2": "4TH FLOOR",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721548",
            "telephone_number": "610-668-7992",
            "fax_number": "610-668-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "LINDA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS008246L",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS008246L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Valley, PA

Sources for this page

Verify at the official NPI Registry.