Individual provider Active NPI

James M Bullock, M.D.

  • Orthopaedic Surgery Physician
  • Plantation, FL
National Provider Identifier
1699913426
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME139978 Issued in FL
Practice address
600 S Pine Island Rd Ste 300
Plantation, FL 33324-3179
Phone
(954) 473-6344
Fax
(954) 476-9077
NPI assigned
Feb 2, 2009
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 259045 MA
Orthopaedic Surgery Physician 207X00000X ME139978 FL Primary

Addresses

Primary practice location

600 S Pine Island Rd Ste 300
Plantation, FL 33324-3179

Mailing address

600 S Pine Island Rd Ste 300
Plantation, FL 33324-3179
Phone (954) 473-6344

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@ocsfdocs.exscribedirect.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190618003490 FL Practitioner - Orthopedic Surgery 9032335039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Chicago, Pritzker School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
Orthopaedic Center of S FloridaGroup PAC ID 4082677315, 21 clinicians

Practice addresses (Care Compare)

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

600 S Pine Island Rd
Suite 300
Plantation, FL 33324-3179
Phone 95447363443101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME139978FLMDOrthopaedic Surgery Physician
259045MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Center of S Florida Orthopaedic Surgery CurrentSince Aug 1, 2019 Accepting new patients
Orthopaedic Center of S Florida Orthopaedic Surgery Past Accepting new patients

Locations

15127 S Jog Rd
Ste 209
Delray Beach, FL 33446
Phone 95447363443101

603 N Flamingo Rd
Ste 267
Pembroke Pines, FL 33028
Phone (954) 320-7999

600 S Pine Island Rd
Ste 300
Plantation, FL 33324
Phone (305) 473-6344

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jbullock216775@mhsdirect.net

Organizations & group practices 2

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 2

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": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1699913426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S PINE ISLAND RD STE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243179",
            "telephone_number": "954-473-6344",
            "fax_number": "954-476-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PINE ISLAND RD STE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243179",
            "telephone_number": "954-473-6344",
            "fax_number": "954-476-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-02",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "259045",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME139978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@ocsfdocs.exscribedirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "600 S Pine Island Rd Ste 300",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333243179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.