Bradley N Bullock, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

27418 Issued in TN

Practice address

1607 Westgate Circle
Suite 200
Brentwood, TN 37027

Phone

(615) 376-8195

Fax

(615) 376-2601

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

University of Florida College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Williamson Hospitalist ProgramGroup PAC ID 0042553158, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Williamson Medical Center Hospital, Franklin, TN, CCN 440029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bbullock@csimp.ssdirect.aprima.com

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.

• Williamson Hospitalist Program

  • Hospitalist Physician
  • Franklin, TN
  • NPI 1871057158
  Medicare reassignment Care Compare group NPD
• Williamson County Hospital District

  dba Williamson Medical Center

  • General Acute Care Hospital
  • Franklin, TN
  • NPI 1265445506
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Williamson County Hospital District

  dba Williamson Medical Center

  • General Acute Care Hospital
  • Franklin, TN
  • NPI 1265445506
  Care Compare affiliation

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1932139474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 WESTGATE CIRCLE",
            "address_2": "SUITE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-376-8195",
            "fax_number": "615-376-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 WESTGATE CIRCLE",
            "address_2": "SUITE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-376-8195",
            "fax_number": "615-376-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "BRADLEY",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "27418",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "27418",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710944",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abbey Budrecki
• Barbara Sutton Buell, CCC-SLP
• Darragh Bugter, LPC-MHSP
• Nicholas Buhay
• Brett Lee Bulkeley
• Tua Bultje, LCSW
• Lakeshia Bumgardner
• Alexandra Buntin
• Roy P Burch Jr., M.D.
• Cynthia S Burchfield, ALPC/MHSP

• Internal Medicine Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.