Dr. Thomas J Bullock, MD
Psychiatry & Neurology, Epilepsy in Bellevue, WA. Individual provider (NPI-1).
NPI number1578907671
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1578907671
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas J Bullock
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2013
- Certification date
- Oct 30, 2023
- Last updated
- Oct 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084E0001X | Psychiatry & Neurology, Epilepsy | 1578907671 | WA | Yes |
| 207T00000X | Neurological Surgery | DR.0058235 | CO | |
| 204D00000X | Neuromusculoskeletal Medicine & OMM | BP10047662 | TX | |
| 2084N0400X | Psychiatry & Neurology, Neurology | 61345139 | WA |
Practice location
1135 116th Ave Ne Ste 500Bellevue, WA 98004-4627
Phone 801-699-8936
Mailing address
1135 116th Ave Ne Ste 500Bellevue, WA 98004-4627
Phone 425-635-6560
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