MILTON L BULLOCK (NPI# 1639116924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639116924 |
| Entity Type | Individual |
| Full Name | MILTON L BULLOCK |
| Credential | MD |
| Practice Address |
914 S 8th St S131 Minneapolis MN 55404-1210 |
| Mailing Address |
701 Park Ave Minneapolis MN 55415-1623 |
| Practice Telephone | 6123477600 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
20549 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
914 S 8TH ST S131 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115118 | Andrew H Schmidt | Orthopaedic Surgery | 914 S 8th St, Suite 600, Minneapolis, MN 55404-1210 | 2005-06-23 |
| 1568014033 | Amy Skroch | Nurse Practitioner | 914 S 8th St, Minneapolis, MN 55404 | 2019-07-15 |
| 1588918015 | Jessica Kuendig | Social Worker | 914 S 8th St, Suite S1-110, Minneapolis, MN 55404-1210 | 2012-11-06 |
| 1912111394 | Wendy Lou St. Peter | Pharmacist | 914 S 8th St, Suite S-206, Minneapolis, MN 55404-1210 | 2007-05-09 |
| 1265657746 | Hennepin Healthcare System Inc | Durable Medical Equipment & Medical Supplies | 914 S 8th St, Minneapolis, MN 55404-1204 | 2007-04-17 |
| 1932274164 | Hennepin Faculty Associates | Durable Medical Equipment & Medical Supplies | 914 S 8th St, S600, Minneapolis, MN 55404-1210 | 2006-11-22 |
| 1720152390 | Elizabeth B Sawinski | Psychiatry & Neurology | 914 S 8th St, S100, Minneapolis, MN 55404-1210 | 2006-11-17 |
| 1417047978 | Fredric C Hall | Psychiatry & Neurology | 914 S 8th St, S100, Minneapolis, MN 55404-1210 | 2006-10-13 |
| 1932291424 | Dolores Connoy | Clinical Nurse Specialist | 914 S 8th St, S100, Minneapolis, MN 55404-1210 | 2006-09-29 |
| 1841382330 | Manasi Kolpe | Psychiatry & Neurology | 914 S 8th St, S100, Minneapolis, MN 55404-1210 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659394815 | John Richard Stroemer | Internal Medicine | 1121 Jackson St Ne, Suite 105, Minneapolis, MN 55413-1672 | 2006-07-26 |
| 1013952175 | Charles P Reznikoff | Internal Medicine | 807 Park Ave, Minneapolis, MN 55404-1136 | 2006-06-20 |
| 1508803610 | Gavin B Bart | Internal Medicine | 701 Park Ave, Minneapolis, MN 55415-1623 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871915470 | Valley Pain Relief and Wellness Center, Pllc | Internal Medicine | 2428 E 117th St, Burnsville, MN 55337-1269 | 2014-01-16 |
| 1144400011 | River of Life Services LLC | Internal Medicine | 6200 Excelsior Blvd, #202, St Louis Park, MN 55416-2730 | 2007-11-08 |
| 1457560708 | Jerome E Schulz | Internal Medicine | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2007-05-22 |
| 1043373426 | Pamela Jo Shultz | Internal Medicine | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2006-12-18 |
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on MILTON L BULLOCK.
| 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.