Bull City Physicians, PLLC
Organization Active NPI Emergency Medicine Physician · Henderson, NC
NPI 1770004285 · NPPES record last updated Feb 5, 2020
Key facts
- NPI
- 1770004285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- BULL CITY PHYSICIANS, PLLC
- Practice address
- 566 Ruin Creek Rd
Henderson, NC 27536-2927 - Phone
- (252) 438-4143
- NPI assigned
- Jul 6, 2017
- Organization subpart
- No
Authorized official
- Name
- Kim H Larsen
- Title
- Director of Credentialing
- Phone
- (770) 874-5400
Practitioners 132
-
Jason Stuart Bryant, DNP, FNP, ENP
-
Nick Minh Ly, DO
-
Yousef M. Naji, M.D.
-
Timothy F. Platts-Mills, M.D.
-
Richard Thomas Benson II, M.D.
-
Saied Khosrowpour, M.D.
-
Daniel Kowalczyk, MD
-
Anand Gopalan Nataraj, M.D.
-
Helen Rovira Figueroa, M.D.
-
Rita Sridaran, MD
-
Yousif Alkadhi, M.D.
-
Danielle Ballard, DO
-
Smeet Bhimani, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171221001735 | NC | Part B Supplier - Clinic/Group Practice | 6901164938 |
Receives reassigned benefits from 131 practitioners Practice locations: Cary, NC; Chapel Hill, NC; Henderson, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
566 Ruin Creek Rd
Henderson, NC 27536-2927
Mailing address
PO Box 21802
Belfast, ME 04915-4115
Phone (770) 874-5400
Other providers in Henderson, NC
- Lindsey T Brown
- Micaiah Brown
- Regina A. Brown
- Jameel Bryant
- Jessica Bryant
- Abril Bullock
- Lauren Bundy
- Manuel Mayo Burgos
- Carrie Burke
- Brittney S Burnette
All providers in Henderson, NC · Emergency Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.