TRENT DUANE BULLOCK


Address: 137 2nd St, Henderson, KY 42420-3135
Phone: 2708609785

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Office Location

Street Address 137 2ND ST
City HENDERSON
State KY
Zip Code 42420-3135

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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
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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City HENDERSON
Zip Code 42420

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Dataset Information

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.

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