Michelle Elizabeth Bullock (NPI# 1861053472, PAC ID# 0840527800) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861053472 |
| PAC ID by PECOS | 0840527800 |
| Professional Enrollment ID | I20190813003812 |
| Full Name | Michelle Elizabeth Bullock |
| Organization Legal Name | INTEGRATED HEALTH CONCEPTS, LLC |
| Address |
28 Midway St Bristol TN 37620-1706 |
| Phone Number | 4235739873 |
| Gender | F |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4082778659 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440012 | WELLMONT BRISTOL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 28 Midway St, Bristol, TN 37620-1706 | 4235739873 | INTEGRATED HEALTH CONCEPTS, LLC |
| Organization Legal Name | INTEGRATED HEALTH CONCEPTS, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca E Flora-waterman | Nurse Practitioner | Integrated Health Concepts, LLC | 28 Midway St, Bristol, TN 37620-1706 |
| James Schrenker | Family Medicine | Integrated Health Concepts, LLC | 28 Midway St, Bristol, TN 37620-1706 |
| Street Address |
28 MIDWAY ST |
| City | BRISTOL |
| State | TN |
| Zip | 37620-1706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca E Flora-waterman | Nurse Practitioner | Integrated Health Concepts, LLC | 28 Midway St, Bristol, TN 37620-1706 |
| James Schrenker | Family Medicine | Integrated Health Concepts, LLC | 28 Midway St, Bristol, TN 37620-1706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Fowler | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Tara D Spurling | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Stacie L Mccray | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Cynthia L Mcglothlin | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Nyela Aldridge Edwards | Certified Nurse Midwife (cnm) | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Jeffrey A Mcqueary | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Autumn R Hoover | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Alyssa Nicole Phelps | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Jeffrey R Looney | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Lynn H Couch | Certified Registered Nurse Anesthetist (crna) | Innovative Surgical Solutions, Pllc | 3185 W State St, Suite 2020, Bristol, TN 37620-1600 |
| Find all physicians in zip 37620 | |||
| City | BRISTOL |
| Zip Code | 37620 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRISTOL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michelle Elizabeth Bullock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.