DR. MALTON JOSEPH BULLOCK JR.


Address: 4423 Pine Park Dr, Baton Rouge, LA 70809-6922
Phone: 2259244488

DR. MALTON JOSEPH BULLOCK JR. (NPI# 1356547434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356547434
Entity Type Individual
Full Name DR. MALTON JOSEPH BULLOCK JR.
Credential M.D.
Practice Address 4423 Pine Park Dr
Baton Rouge
LA 70809-6922
Practice Telephone 2259244488
Practice Fax Number 2259241531
Mailing Telephone 2259244488
Mailing Fax Number 2259241531
Enumeration Date 2007-06-25
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 04483R LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1195421 05

Office Location

Street Address 4423 PINE PARK DR
City BATON ROUGE
State LA
Zip Code 70809-6922

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1548734213 Urg-hab Surgical Specialists Pain Medicine 8558 Jefferson Hwy, Baton Rouge, LA 70809 2019-01-16
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316381262 Karli Mizell Boggs Obstetrics & Gynecology 500 Rue De La Vie St Ste 404, Baton Rouge, LA 70817-5128 2013-04-22
1689929051 Jolie Caroline Bourgeois Obstetrics & Gynecology 500 Rue De La Vie St Ste 210, Baton Rouge, LA 70817-5128 2012-07-20
1245509397 Therese Landry Demouy Obstetrics & Gynecology 13717 Earls Ct, Baton Rouge, LA 70810-3587 2011-12-19
1417225335 Richard Haughton Tannehill Obstetrics & Gynecology 2728 Windrush Way, Baton Rouge, LA 70809-1126 2011-12-06
1225356686 Merritt F. Melker IIi Obstetrics & Gynecology 18322 N Mission Hills Ave, Baton Rouge, LA 70810-7972 2010-05-11
1346481314 Christy Hartmann Cycotte Obstetrics & Gynecology 500 Rue De La Vie St Ste 407, Baton Rouge, LA 70817-5128 2009-03-20
1194900761 Nicole Hebert Chauvin Obstetrics & Gynecology 500 Rue De La Vie, Ste 305, Baton Rouge, LA 70817-5126 2008-01-02
1982725701 Dorsay D Bryant Obstetrics & Gynecology 1820 N Acadian Thruway W, Baton Rouge, LA 70802-1857 2007-04-02
1508981051 Joseph Wesley Diggs Obstetrics & Gynecology 412 N Acadian Thruway, Baton Rouge, LA 76806 2007-03-20
1679615702 Marilyn Marie Reynaud Obstetrics & Gynecology 7173a Florida Boulevard, Baton Rouge, LA 70806-4549 2007-02-13
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City BATON ROUGE
Zip Code 70809

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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