DR. NICOLE P BULLOCK (NPI# 1659532182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659532182 |
| Entity Type | Individual |
| Full Name | DR. NICOLE P BULLOCK |
| Credential | MD |
| Practice Address |
1120 Se Cary Pkwy Suite 100 Cary NC 27518-7413 |
| Practice Telephone | 9194674992 |
| Practice Fax Number | 9192325328 |
| Mailing Telephone | 9194674992 |
| Mailing Fax Number | 9192325328 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2011-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 2009-01450 | NC | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 0101243677 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | FIRST HEALTH COMMERCIAL | PAR | 01 |
| NC | 5909717 | 05 | |
| VA | MULTIPLAN | PAR | 01 |
| VA | SENTARA/OPTIMA | 10036799 | 01 |
| VA | VA HEALTH NETWORK | PAR | 01 |
| VA | 1659532182 | 05 | |
| VA | CIGNA | 7285322 | 01 |
| VA | TRICARE | -017 | 01 |
| NC | NC BC/BS | 09717 | 01 |
| VA | USA MANAGED CARE | 1100205 | 01 |
| VA | UHC/MAMSI | 2181249 | 01 |
| VA | ANTHEM | 358459 | 01 |
| VA | VA PREMIER HEALTH | PAR | 01 |
| VA | AETNA | 9280154 | 01 |
| VA | CORVEL/CORCARE | PAR | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023595766 | Nicole Elizabeth Bullock | Social Worker | 1350 S Eliseo Dr Ste 130, Greenbrae, CA 94904-2011 | 2018-07-25 |
| 1699035808 | Nicole Wright Bullock | Social Worker | 55 Hope St, Providence, RI 02906-2001 | 2012-05-22 |
| 1023277076 | Nicole C Bullock | Obstetrics & Gynecology | 6250 Regional Plz, Suite 1010, Abilene, TX 79606-5262 | 2008-06-05 |
| Street Address |
1120 SE CARY PKWY SUITE 100 |
| City | CARY |
| State | NC |
| Zip Code | 27518-7413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184622052 | Raymond Mckay Carroll | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2005-07-13 |
| 1861926800 | Justin Akllen Meekins | Physical Therapist | 1120 Se Cary Pkwy, Suite 101, Cary, NC 27518-7413 | 2017-04-17 |
| 1275083974 | Kristen Michelle Mundy | Physician Assistant | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-10-06 |
| 1437603941 | Molly M Mazich | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-12 |
| 1326592833 | William Fogarty Iv | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-12 |
| 1114471307 | Melissa Capannola | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-05 |
| 1831581180 | Erin Clevenger | Psychologist | 1120 Se Cary Pkwy, Suite 201, Cary, NC 27518-7413 | 2015-02-24 |
| 1851781025 | Elise Caceres-mason | Physician Assistant | 1120 Se Cary Pkwy, #100, Cary, NC 27518-7413 | 2015-01-27 |
| 1518217199 | Christina K Buffington | Occupational Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2012-09-11 |
| 1235408634 | Kenneth Allen Lynnes | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2011-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396271508 | Carolina Spine Center Pa | Physical Medicine & Rehabilitation | 100 Parkway Office Ct Ste 108, Cary, NC 27518-7438 | 2017-05-08 |
| 1053740381 | Christine Baytion Reinke | Physical Medicine & Rehabilitation | 102 Raphael Dr, Cary, NC 27511-6014 | 2013-11-07 |
| 1326184870 | Christopher Lin | Physical Medicine & Rehabilitation | 1110 Se Cary Pkwy, Cary, NC 27518-7420 | 2007-01-30 |
| 1538198213 | Christopher J Godbout | Physical Medicine & Rehabilitation | 400 Keisler Dr, Cary, NC 27511-7069 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896984 | Asheville Regenerative Orthopedics and Sports Medicine, Pllc | Physical Medicine & Rehabilitation | 1257 Hendersonville Rd Ste A, Asheville, NC 28803-1916 | 2020-09-22 |
| 1053927970 | Shannon Cain | Physical Medicine & Rehabilitation | 209 Scout Ln, Chinquapin, NC 28521-8782 | 2020-09-16 |
| 1528683935 | Ivyrehab North Carolina LLC | Physical Medicine & Rehabilitation | 9216 Ardey Kell Road, Ste 300, Charlotte, NC 28277-4954 | 2020-06-11 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1730716267 | Foundation Health Systems Corp | Physical Medicine & Rehabilitation | 7210 Village Medical Cir Ste 115, Clemmons, NC 27012-8029 | 2020-03-25 |
| 1639702574 | Charlotte Physical Therapy & Wellness Center, LLC | Physical Medicine & Rehabilitation | 236-a Lephillip Court, Concord, NC 28025-1917 | 2020-02-19 |
| 1003466582 | Tiffany Hairston | Physical Medicine & Rehabilitation | 2144 Maplecrest Dr, Charlotte, NC 28212-6918 | 2019-09-16 |
| 1316501646 | Onward Charlotte LLC | Physical Medicine & Rehabilitation | 529 W Summit Ave Ste 1d, Charlotte, NC 28203-4350 | 2019-04-22 |
| 1306303458 | Colten Briar Sullivan | Physical Medicine & Rehabilitation | 719 Broad St, Durham, NC 27705-4833 | 2019-02-25 |
| 1033690243 | Musclerx LLC | Physical Medicine & Rehabilitation | 1331 4th Street Dr Nw Ste E, Hickory, NC 28601-2579 | 2018-08-25 |
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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.