Nicholas Wheeling Bulleit, LPTA

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

License

2306606346 Issued in VA

Practice address

5604A Virginia Beach Blvd Ste 101
Virginia Beach, VA 23462-5681

Phone

(757) 455-5000

NPI assigned

Sep 5, 2023

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

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": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1891571980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BALDWIN ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527104",
            "telephone_number": "757-402-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604A VIRGINIA BEACH BLVD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625681",
            "telephone_number": "757-455-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLEIT",
        "first_name": "NICHOLAS",
        "middle_name": "WHEELING",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "VA",
            "license": "2306606346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J Bukovac, DDS
• Natesha Bull
• Ave' Maria Bullard, P. T.
• George Bullard Jr., M.D.
• Mikaela Deanna Bullard
• Larry Joel Bullock, DDS
• Steve Thomas Toshio Bullock
• Rebecca Dawn Bumgardner, O.D.
• Andy Cameron Bunch, M.D.
• Kathleen Louise Bunch

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.