Deborah Juanita Bullock, MD
Individual provider Active NPI Family Medicine Physician · Arnold, MD
NPI 1922083047 · NPPES record last updated Aug 29, 2018
Key facts
- NPI
- 1922083047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D78883 (MD)
- Practice address
- 208 Treyburn Way
Arnold, MD 21012 - Phone
- (443) 758-3031
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conemaugh Health Initiatives | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D78883 | MD | Yes |
Addresses
Primary practice location
208 Treyburn Way
Arnold, MD 21012
Mailing address
208 Treyburn Way
Arnold, MD 21012-2577
Phone (443) 758-3031
Other names
- Deborah Hinkson Bullock
Other providers in Arnold, MD
- Blue Heron Homecare, LLC
- Broadneck Pharmacy Inc
- Eric Lamont Brooks
- Bruce Turnquist Psy.D. and Associates
- Clare Bubniak
- Victoria Burden
- Scott Burgess
- Douglas Martin Burr
- Melissa Caprio
- Cathryn Wingate
All providers in Arnold, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.