DR. BENJAMIN LEE BULLOCK (NPI# 1417306952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417306952 |
Entity Type | Individual |
Full Name | DR. BENJAMIN LEE BULLOCK |
Credential | MD |
Practice Address |
1514 Jefferson Hwy New Orleans LA 70121 |
Mailing Address |
1514 Jefferson Hwy New Orleans LA 70121-2429 |
Practice Telephone | 5048423460 |
Practice Fax Number | 5048423468 |
Mailing Telephone | 5048424000 |
Enumeration Date | 2016-06-06 |
Last Update Date | 2019-07-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 312427 | LA | Allopathic & Osteopathic Physicians |
N | 207P00000X | Emergency Medicine | R5704 | TX | Allopathic & Osteopathic Physicians |
N | 207P00000X | Emergency Medicine | BP10057575 | TX | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1901 Sw H K Dodgen Loop, Temple, TX 76502 | 2549354000 | |
2500 Belle Chasse Hwy, Terrytown, LA 70056 | 5043923131 | 5043915486 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871821090 | Benjamin Christian Bullock | Internal Medicine | 305 Revere Ct, Coatesville, PA 19320-5923 | 2009-11-29 |
Street Address |
1514 JEFFERSON HWY |
City | NEW ORLEANS |
State | LA |
Zip Code | 70121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053314419 | Kirt Joseph Talamo | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2005-05-31 |
1902406481 | Katelynn Templet | Pharmacist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-10-26 |
1023617552 | Emily Kate Durham Arceneaux | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-10-26 |
1285232629 | Sunni J Primeaux | Psychologist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-10-16 |
1417554965 | Jillian E Pringle | Nurse Practitioner | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-10-07 |
1972110278 | Kaitlyn M Reine | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-09-30 |
1811504657 | William L Rasmussen | Nurse Practitioner | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-09-25 |
1376157545 | Justin Carreras | Psychologist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-09-03 |
1114531852 | Rachel Rovira | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-09-01 |
1578174686 | Tamara Lafont | Nurse Practitioner | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-08-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437772191 | Carlos Andres Cevallos | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2020-05-28 |
1497375257 | Vipin Varghese | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Bh 629, New Orleans, LA 70121 | 2020-04-22 |
1790255396 | Irianne Nicholas | Specialist/Technologist | 1201 South Clearview Parkway, Jefferson, LA 70121 | 2018-11-27 |
1225504889 | George Andrews | Orthopaedic Surgery | Ochsner Health System, 1514 Jefferson Highway, New Orleans, LA 70121 | 2018-10-22 |
1295213494 | Shima Abdulhameed A Aziz | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Highway, Ochsner Clinic Foundation, New Orleans, LA 70121 | 2018-07-31 |
1396238721 | Treasure S Lucas | Case Manager/Care Coordinator | 827 Causeway Blvd Ste 206, Jefferson, LA 70121 | 2018-06-11 |
1396240909 | Jasmine Kaur Bahd | Student in an Organized Health Care Education/Training Program | 1401 Jefferson Highway, Academic Center 1st Floor, New Orleans, LA 70121 | 2018-03-26 |
1649774480 | William Shamus Rohn | Student in an Organized Health Care Education/Training Program | 137 Jules Ave, Jefferson, LA 70121 | 2018-03-19 |
1295262665 | Uday Shanker Nadimpally | Student in an Organized Health Care Education/Training Program | Ochsner Clinic Foundation, 1514, Jefferson Hwy, New Orleans, LA 70121 | 2017-05-17 |
1700324084 | Magnolia Community Services, Inc | Intermediate Care Facility, Mentally Retarded | 821 Jefferson Heights Ave., Jefferson, LA 70121 | 2017-02-07 |
Find all providers in zip 70121 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346848538 | Samire Almeida De Oliveira | Emergency Medicine | 701 Poydras St Suite 104, New Orleans, LA 70139 | 2020-10-11 |
1467094268 | Executive Medicine, LLC | Emergency Medicine | 701 Poydras St Ste 104, New Orleans, LA 70139-7761 | 2019-10-13 |
1194119289 | Ryan Christopher Jupiter | Emergency Medicine | 1441 N Miro St, New Orleans, LA 70119-2618 | 2015-03-26 |
1528452802 | Julia Terle | Emergency Medicine | 5025 S Prieur St, New Orleans, LA 70125-4946 | 2015-03-24 |
1235559055 | Bridgette Celeste Egan | Emergency Medicine | 2331 Lapeyrouse St, New Orleans, LA 70119-2521 | 2014-04-19 |
1023436656 | Colin Devlin | Emergency Medicine | 5022 Laurel St, New Orleans, LA 70115-1729 | 2014-04-01 |
1205253366 | Randy Michael Sorge | Emergency Medicine | 2000 Canal St Fl D&t2, New Orleans, LA 70112 | 2014-03-26 |
1093130478 | Ronald Christopher Fenton | Emergency Medicine | 2000 Canal St Ste 2720, New Orleans, LA 70112 | 2014-02-21 |
1144562554 | Laura Elizabeth Roan | Emergency Medicine | 1542 Tulane Ave # T2m4, New Orleans, LA 70112 | 2013-03-23 |
1750640066 | Andre Baugh | Emergency Medicine | 7210 Arbor Dr, New Orleans, LA 70126-3023 | 2012-05-07 |
Find all providers in NEW ORLEANS |
City | NEW ORLEANS |
Zip Code | 70121 |
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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.