Mary D. Bullock, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119000662 Issued in VA

Practice address

8700 Stony Point Pkwy
Suite 100
Richmond, VA 23235-1962

Phone

(804) 545-9435

Fax

(804) 545-9440

NPI assigned

Feb 22, 2007

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

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richmond Eye and Ear Health CareGroup PAC ID 0244143451, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Richmond Eye & Ear Health Care

  • Low Vision Rehabilitation Optometrist
  • Richmond, VA
  • NPI 1467623553
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831224716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 STONY POINT PKWY",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351962",
            "telephone_number": "804-545-9435",
            "fax_number": "804-545-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 STONY POINT PKWY",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351962",
            "telephone_number": "804-545-9435",
            "fax_number": "804-545-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "MARY",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119000662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Bullock, LMSW, LCSW
• Enoch Hananiah Bullock, M.ED.
• Irene Ervin Bullock, LCSW
• Janet Bullock, CPT
• John Paul Bullock Jr., M.D.
• Peter R Bumanis, D.O.
• Amanda Lynnette Bumgarner, ACCNS-P
• Mary Bumpas
• Casey Christopher Bunce, DPT
• Robert Martin Buncher, PH.D.

• Occupational Therapist in Richmond, VA
• Providers in Richmond, VA by specialty
• Occupational Therapist in Virginia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.