BULLOCK PREVENTIVE AND FAMILY MEDICINE, LLC (NPI# 1912300641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912300641 |
| Entity Type | Organization |
| Organization Name | BULLOCK PREVENTIVE AND FAMILY MEDICINE, LLC |
| Other Organization Name | FOCUS-MD AL 1017, LLC |
| Practice Address |
430 Emery Dr Suite 700 Hoover AL 35244-4587 |
| Practice Telephone | 2059874044 |
| Mailing Telephone | 2059874044 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2015-10-02 |
| Authorized Official Name | GARY BULLOCK (MANAGING MEMBER) |
| Authorized Official Telephone | 2059874044 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO729 | AL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Focus-MD AL 1017, LLC | Doing Business As Name - Organization |
| Street Address |
430 EMERY DR SUITE 700 |
| City | HOOVER |
| State | AL |
| Zip Code | 35244-4587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235423930 | Lister Healthcare Corporation | Radiology | 430 Emery Dr, Hoover, AL 35244-4587 | 2011-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1588013221 | Louis Arsenio Gerena | Family Medicine | 1031 Brocks Gap Pkwy, Ste 185, Hoover, AL 35244-4078 | 2016-06-03 |
| 1477914893 | Emily Staples | Family Medicine | Uab Family Medicine Hoover, 501 Emery Dr West, Hoover, AL 35244 | 2016-03-12 |
| 1427324664 | Rebecca M Turner | Family Medicine | 4760 Red Leaf Cir, Hoover, AL 35226-4212 | 2012-03-30 |
| 1326232711 | Robert Parsa | Family Medicine | 3205 Lorna Rd Ste 103, Hoover, AL 35216-5494 | 2007-08-29 |
| 1740470251 | Brookwood Primary Care Hoover, L.L.C. | Family Medicine | 2547 John Hawkins Pkwy, Suite 103, Hoover, AL 35244-3554 | 2007-07-31 |
| 1093924391 | Michael T Solomon | Family Medicine | 5295 Preserve Pkwy Ste 270, Hoover, AL 35244-4705 | 2007-05-22 |
| 1225131311 | Sherri Bennett Clark | Family Medicine | 4745 Chace Cir, Suite 101, Hoover, AL 35244-3711 | 2006-09-06 |
| 1306948898 | Gary Morgan Bullock | Family Medicine | 430 Emory Drive, Ste 700, Hoover, AL 35244 | 2006-09-04 |
| 1801904982 | Mary C Gipson | Family Medicine | 118 Mars Hill Rd, Hoover, AL 35244-3904 | 2006-08-28 |
| Find all providers in HOOVER | ||||
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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.