TRENT DUANE BULLOCK (NPI# 1477018521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477018521 |
Entity Type | Individual |
Full Name | TRENT DUANE BULLOCK |
Practice Address |
137 2nd St Henderson KY 42420-3135 |
Practice Telephone | 2708609785 |
Mailing Telephone | 2708609785 |
Enumeration Date | 2019-02-04 |
Last Update Date | 2019-02-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Street Address |
137 2ND ST |
City | HENDERSON |
State | KY |
Zip Code | 42420-3135 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
Find all providers in zip 42420 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457994105 | Mary Anne Kehaulani Mcelroy | Prosthetic/Orthotic Supplier | 2435 Huntington Rd, Henderson, WV 25106 | 2019-10-25 |
1821381328 | Park Medical Wear, Inc. | Prosthetic/Orthotic Supplier | 1697 Freedom Ct, Henderson, NV 89014-7526 | 2011-05-17 |
1871734947 | Range of Motion | Prosthetic/Orthotic Supplier | 1302 Dabney Drive, Henderson, NC 27536-3531 | 2009-03-18 |
1447443320 | John Issac Goli | Prosthetic/Orthotic Supplier | 2642 Horizon Ridge Pkwy, #a5, Henderson, NV 89052-6480 | 2007-08-23 |
1720286966 | Orthopedic Motion Inc | Prosthetic/Orthotic Supplier | 2930 W Horizon Ridge Pkwy, Henderson, NV 89052-5058 | 2007-07-10 |
1679780381 | Sequent Corporation | Prosthetic/Orthotic Supplier | 10520 S Eastern Ave, #100, Henderson, NV 89052-3900 | 2007-05-16 |
1821053869 | Bio-tech Prosthetics Orthotics | Prosthetic/Orthotic Supplier | 855-b South Beckford Dr, Henderson, NC 27536 | 2006-04-20 |
1235619776 | Physiotherapy Associates, Inc. | Prosthetic/Orthotic Supplier | 750 Coronado Center Dr Ste 120, Henderson, NV 89052-5035 | 2018-08-15 |
1427136845 | North Carolina Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 451 Ruin Creek Rd, Suite 102, Henderson, NC 27536-2878 | 2006-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083066468 | I Management LLC | Prosthetic/Orthotic Supplier | 1034 S Jackson St, Louisville, KY 40203-3422 | 2016-07-08 |
1679934111 | Pakmed LLC | Prosthetic/Orthotic Supplier | 2527 Nelson Miller Pkwy, Louisville, KY 40223-3161 | 2016-03-11 |
1013385558 | Kenney Orthopedics of Paducah, LLC | Prosthetic/Orthotic Supplier | 224 Berger Rd, Paducah, KY 42003-4522 | 2015-09-14 |
1750790689 | Center for Orthotic and Prosthetic Care of Kentucky LLC | Prosthetic/Orthotic Supplier | 4975 Alben Barkley Dr, Suite 2, Paducah, KY 42001-6722 | 2014-08-05 |
1780018085 | Beauty Personified LLC | Prosthetic/Orthotic Supplier | 3023 Hunsinger Ln Ste A, Louisville, KY 40220-2232 | 2013-08-22 |
1578995155 | Motc - Louisville LLC | Prosthetic/Orthotic Supplier | 10285 Champion Farms Dr, Louisville, KY 40241-6150 | 2013-08-06 |
1598012262 | Premier Orthotics Inc. | Prosthetic/Orthotic Supplier | 13329 Prospect Glen Way, Prospect, KY 40059-8184 | 2012-08-13 |
1427330760 | Central Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 171 Hibbard Street, Suite 3, Pikeville, KY 41501 | 2011-09-13 |
1245534585 | Xtreme Prosthetics, LLC. | Prosthetic/Orthotic Supplier | 1005 West Columbia St, Suite B, Somerset, KY 42503 | 2010-12-30 |
1437463262 | Willam Eatl Bray Jr. | Prosthetic/Orthotic Supplier | 310 Langdon St Ste 2, Somerset, KY 42503-2795 | 2010-08-04 |
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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.