Neal M Bullock Dpm Pa
Podiatrist
17013 Pines Blvd, Pembroke Pines
Florida, 33027-1003
954-450-4200 954-450-4237
Neal M Bullock Dpm Pa is a Podiatrist in Pembroke Pines, Florida. It is located at 17013 Pines Blvd, Pembroke Pines and it's customer support contact number is 954-450-4200. The authorized person of Neal M Bullock Dpm Pa is Dr. Neal M Bullock, DPM who is President Owner of this DME and his contact number is 954-450-4200. Active license number of Neal M Bullock Dpm Pa is PO2571 for Podiatrist in Florida. Neal M Bullock Dpm Pa accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Neal M Bullock Dpm Pa is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
DME Supplier Details:
Neal M Bullock Dpm Pa type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Neal M Bullock Dpm Pa |
| Type: | Podiatrist |
| Location: | 17013 Pines Blvd, Pembroke Pines,
Florida, 33027-1003 |
| Phone: | 954-450-4200 |
| Fax: | 954-450-4237 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Neal M Bullock |
| Credentials: | DPM |
| Position: | President Owner |
| Contact Number: | 954-450-4200 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1598935249 |
| NPI Enumeration Date: | 10 Mar, 2008 |
| NPI Last Update On: | 20 May, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Neal M Bullock Dpm Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Podiatrist | PO2571 | Florida | Primary | |
| Durable Medical Equipment & Medical Supplies | | Florida | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 390394000 | Medicaid | Florida | |
Medicare Enrollment:
Neal M Bullock Dpm Pa is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5890972723 | O20110602000121 | Neal M Bullock Dpm Pa | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 5890972723 | O20130430000597 | Neal M Bullock Dpm Pa | DME SUPPLIER - PHYSICIAN - PODIATRY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 17013 Pines Blvd,
Pembroke Pines, Florida |
| Zip: | 33027-1003 |
| Phone Number: | 954-450-4200 |
| Fax Number: | 954-450-4237 |
Patients can reach Neal M Bullock Dpm Pa at
17013 Pines Blvd, Pembroke Pines, Florida or can
call on customer care at 954-450-4200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.