GERALD F BULLOCH (NPI# 1700829744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700829744 |
| Entity Type | Individual |
| Full Name | GERALD F BULLOCH |
| Credential | MD |
| Practice Address |
221 W Colorado Blvd Pavilion 2 - Suite 545 Dallas TX 75208-2363 |
| Practice Telephone | 2149419100 |
| Practice Fax Number | 2149411949 |
| Mailing Telephone | 2149419100 |
| Mailing Fax Number | 2149411949 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2013-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G1343 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BC/BS | 00TT84 | 01 |
| TX | 123334803 | 05 |
| Street Address |
221 W COLORADO BLVD PAVILION 2 - SUITE 545 |
| City | DALLAS |
| State | TX |
| Zip Code | 75208-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750388815 | James Michael Morrissey | Plastic Surgery | 221 W Colorado Blvd, Pav 2, Ste 727, Dallas, TX 75208-2363 | 2005-07-05 |
| 1982248548 | Kellie Edwardsen | Nurse Practitioner | 221 W Colorado Blvd, Dallas, TX 75208-2363 | 2019-11-06 |
| 1316426588 | Amanda Indalecia Jimenez | Nurse Practitioner | 221 W Colorado Blvd, Dallas, TX 75208-2363 | 2018-08-08 |
| 1851826473 | Margaret Bondoc | Nurse Practitioner | 221 W Colorado Blvd, Ste#845, Dallas, TX 75208-2363 | 2017-04-21 |
| 1770014771 | Dallas Pulmonary Associates Critical Care | General Acute Care Hospital | 221 W Colorado Blvd, Ste 845, Dallas, TX 75208-2363 | 2017-03-22 |
| 1952859126 | Divali Docs, Pllc | Surgery | 221 W Colorado Blvd, Ste 943, Dallas, TX 75208-2363 | 2016-09-16 |
| 1003261512 | Daryl Keith Motsenbocker | Registered Nurse | 221 W Colorado Blvd, Pavillion 2, Suite 929, Dallas, TX 75208-2363 | 2016-05-03 |
| 1821443409 | Emily Alice Lowrance | Physician Assistant | 221 W Colorado Blvd, Pavilion II, Suite 425, Dallas, TX 75208-2363 | 2016-05-02 |
| 1093175390 | Center for Cardiovascular Health Pllc | Clinic/Center | 221 W Colorado Blvd, Ste. 729, Dallas, TX 75208-2363 | 2016-02-29 |
| 1518325133 | Heather Rose Nugent | Registered Nurse | 221 W Colorado Blvd, Pav II, Suite 630, Dallas, TX 75208-2363 | 2016-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
| 1316506025 | Molecular Innovations Neo-designs Laboratories, LLC | Clinical Medical Laboratory | 839 W. Commerce, Dallas, TX 75208 | 2019-06-07 |
| 1477023430 | Amber M James Dmd, Pllc | Dentist | 650 Fort Worth Ave, Ste 130, Dallas, TX 75208 | 2018-12-03 |
| 1659841237 | Andrea Pavia-jimenez | Physician Assistant | 817 Jefferson Blvd, Dallas, TX 75208 | 2018-11-27 |
| 1841716859 | Jennifer Atherton | Midwife | 618 S Rosemont Ave, Dallas, TX 75208 | 2017-08-22 |
| 1659815892 | Texas Traumatic Brain Injury Rehab | Counselor | 214 W. Colorado Blvd., Dallas, TX 75208 | 2016-12-07 |
| 1295120111 | Silva Pharmacy, Inc | Pharmacy | 939 W Jefferson Blvd Ste 101, Dallas, TX 75208 | 2015-03-30 |
| 1487052478 | Kassandra Sanchez | Counselor | 210 West 10th Street, Dallas, TX 75208 | 2014-12-08 |
| 1023458650 | O.c Medical Associates Pa | Internal Medicine | 737 N. Bishop Avenue, Ste B, Dallas, TX 75208 | 2013-06-27 |
| 1306105135 | Sts Dental, Pllc | Dentist | 909 S. Tyler St., Dallas, TX 75208 | 2012-05-14 |
| Find all providers in zip 75208 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1831740802 | Premier Heart Center, Pllc | Internal Medicine | 10440 N Central Expy Ste 1400, Dallas, TX 75231-2235 | 2019-09-21 |
| 1528576451 | Texas Heart Center, Pllc | Internal Medicine | 3600 Gaston Ave Ste 851, Dallas, TX 75246-1908 | 2018-01-12 |
| 1508304957 | Archana Srivastava Md Pa | Internal Medicine | 4305 W. Wheatland Road, Suite 130, Dallas, TX 75237 | 2017-02-06 |
| 1780036749 | Solocare Texas Pllc | Internal Medicine | 10218 Boedeker St, Dallas, TX 75230-5401 | 2016-07-01 |
| 1578926796 | Skilled Specialty Consultants Pllc | Internal Medicine | 5803 Hudson St, #1, Dallas, TX 75206-8084 | 2016-04-04 |
| 1760855100 | Remote Cardiology Services, Pllc | Internal Medicine | 6464 Royalton Dr, Dallas, TX 75230-3500 | 2015-11-06 |
| 1326430513 | Brian Eades Md Pllc | Internal Medicine | 5628 Encore Dr, Dallas, TX 75240-4642 | 2015-02-24 |
| 1205246931 | Jeomi Maduka Okwara | Internal Medicine | Msc Cardiovascular Medicine 1 University Of, 6201 Harry Hines Blvd, Dallas, TX 75235-5202 | 2014-05-02 |
| 1497097984 | Nicholas Cooper Macpherson | Internal Medicine | 12740 Hillcrest Rd., Ste. 265, Dallas, TX 75230 | 2013-03-22 |
| 1891084729 | Ambarish Pandey | Internal Medicine | 5939 Harry Hines Blvd 9th Fl Ste 935, Dallas, TX 75390-7708 | 2011-03-31 |
| Find all providers in DALLAS | ||||
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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.