Michael S Bullock, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

MD12542 Issued in OR

Practice address

520 Country Club Pkwy
Eugene, OR 97401-6036

Phone

(541) 683-5001

Fax

(541) 683-1422

NPI assigned

Dec 20, 2005

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

State licenses

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669458758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COUNTRY CLUB PKWY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016036",
            "telephone_number": "541-683-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COUNTRY CLUB PKWY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016036",
            "telephone_number": "541-683-5001",
            "fax_number": "541-683-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OR",
            "license": "MD12542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238188",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James C Buie, M.D.
• Cassandra Buitron
• Jessica Bujor
• Martha Bullard, M.S.W., L.C.S.W.
• B Grace Marie Bullock, PH.D.
• Henery Martin Bumstead, DDS
• Grady Paul Bunce, ELECTROLOGIST
• Marianne Marie Bunch, RN
• John Bundy, PH.D.
• Michelle RM Bunn, SLP

• Radiation Oncology Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Radiation Oncology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.