Individual
DR. NICOLE P BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 SE CARY PKWY, SUITE 100, CARY, NC 27518-7413
(919) 467-4992
(919) 232-5328
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
(984) 215-4110
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101243677
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2009-01450
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-017
TRICARE
VA
01
—
09717
NC BC/BS
NC
01
—
10036799
SENTARA/OPTIMA
VA
01
—
1100205
USA MANAGED CARE
VA
05
—
1659532182
—
VA
01
—
2181249
UHC/MAMSI
VA
01
—
358459
ANTHEM
VA
05
—
5909717
—
NC
01
—
7285322
CIGNA
VA
01
—
9280154
AETNA
VA
01
—
PAR
FIRST HEALTH COMMERCIAL
VA
Enumeration date
06/18/2008
Last updated
05/06/2021
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