Active NPIIndividual providerSole proprietor

Dr. Bruce D Bullock, MD

Family Medicine in Rutland, Vermont

NPI Number1649250358
Practice location
8 Commons St, Rutland, VT 05701-4651
Fax
802-773-4876
Last updated
March 28, 2023

Bruce D Bullock is a Family Medicine based in Rutland, VT. Bruce D Bullock practices in Rutland, VT and has the professional credentials of MD. The NPI Number for Bruce D Bullock is 1649250358 and holds a License No. 0420008555 (VT). The current practice location address for Bruce D Bullock is 8 Commons St, Rutland, VT 05701-4651 and can be reached out via phone at 802-770-1805 and via fax at 802-773-4876.

Provider Profile Details

NPI Number
1649250358
Provider Name
Bruce D Bullock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8 Commons St, Rutland, VT 05701-4651
Phone Number
802-770-1805
Fax Number
802-773-4876
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 19, 2006
Last Update Date
March 28, 2023
Certification Date
March 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 Commons St
Rutland, VT 05701-4651
State
Vermont
Zip
05701-4651
Phone Number
802-770-1805
Fax Number
802-773-4876
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
8 Commons St
Rutland, VT 05701-4651
City
Rutland
State
VT
Zip
05701-4651
Phone Number
802-770-1805
Fax Number
802-773-4876

License Information

License Number
0420008555
License State
VT
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Bruce D Bullock, MD?

The NPI number of Dr. Bruce D Bullock, MD is 1649250358. It was assigned on January 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Bruce D Bullock, MD?

Dr. Bruce D Bullock, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VT under license number 0420008555.

Where does Dr. Bruce D Bullock, MD practice?

The practice location is 8 Commons St, Rutland, VT 05701-4651. The office can be reached at 802-770-1805 (phone) or 802-773-4876 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649250358 directly on the NPPES registry website.

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