Brenda A Bullocks-Fox

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

015296 Issued in IN

Practice address

6524 E 44TH PL
Indianapolis, IN 46226-3508

Phone

(317) 833-2470

NPI assigned

Oct 10, 2022

Last updated

Oct 10, 2022By the provider in NPPES

Sex

Female

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1720703044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 E 44TH PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462263508",
            "telephone_number": "317-833-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6524 E 44TH PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462263508",
            "telephone_number": "317-833-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCKS-FOX",
        "first_name": "BRENDA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "015296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "853599761",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "code",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "codes",
            "address_1": "6524 E 44th Pl",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462263508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaylie Ashlynn Bullock, MD
• Mary Bullock
• Megan Bullock, LMHC, CSAYC
• Tamara Latrice Bullock
• Theresa Alice Bullock, M.S.W.
• Karen L. Bumb, MD
• Courtney N Bumbalough, FNP-C
• Dennis Michael Bumgarner, L.C.S.W.
• Angel Renee Bumphus
• Lori Bumps, RN

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.