Bullock Preventive and Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO729 Issued in AL

Legal business name

BULLOCK PREVENTIVE AND FAMILY MEDICINE, LLC

Doing business as

Focus-MD AL 1017, LLC

Practice address

430 Emery Dr
Suite 700
Hoover, AL 35244-4587

Phone

(205) 987-4044

NPI assigned

Oct 8, 2014

Organization subpart

No

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

Authorized official

Name

Gary Bullock, DO

Title

Managing Member

Phone

(205) 987-4044

Specialties & licenses 1

Addresses

Other names 1

• Focus-MD AL 1017, LLC Doing business as

Locations

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1912300641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 EMERY DR",
            "address_2": "SUITE 700",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444587",
            "telephone_number": "205-987-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 EMERY DR",
            "address_2": "SUITE 700",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444587",
            "telephone_number": "205-987-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLOCK PREVENTIVE AND FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "205-987-4044",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Focus-MD AL 1017, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Hoover, AL
• Providers in Hoover, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.