BRITTANY JO BULLOCK MS, CCC-SLP
NPI 1053166074
Speech-Language Pathologist in Lebanon, NH

Active since April 22, 2024
1 MEDICAL CENTER DR, LEBANON, NH 03756(603) 650-3600 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2024, Apr 22, 2024 (2 updates tracked since 2024).

About Brittany Jo Bullock Ms, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRITTANY JO BULLOCK MS, CCC-SLP (NPI 1053166074) is an individual speech-language pathologist provider in Lebanon, New Hampshire, licensed in New Hampshire (1801) and active in the NPI registry since April 2024. She maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1053166074
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameBRITTANY JO BULLOCKCredential: MS, CCC-SLP
Location Address1 MEDICAL CENTER DRLebanon, NH 03756-0001
Mailing Address1 Medical Center DrLebanon, NH 03756-1000 · (603) 650-3600
Sole ProprietorNo
Enumeration DateApril 22, 2024
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
✔ NPI 1053166074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in NH · 1801✔ Licensed in MA · 100923
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1 MEDICAL CENTER DR, Lebanon, NH 03756

Secondary Practice Location 1

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 919-7394

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brittany Jo Bullock Ms, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Brittany Bullock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Otolaryngology
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 79 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF OCCUPATION MEDICINE
LEBANON, NH 03756
Pharmacist (Oncology)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Internal Medicine
1 MEDICAL CENTER DR, DHMC SECTION OF HOSPITAL MEDICINE
LEBANON, NH 03756
Otolaryngology
1 MEDICAL CENTER DR, OTOLARYNGOLOGY
LEBANON, NH 03756
Colon & Rectal Surgery
1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT
LEBANON, NH 03756
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Internal Medicine (Cardiovascular Disease)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brittany Bullock's NPI number?

The NPI number for Brittany Bullock is 1053166074. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Brittany Bullock located?

Brittany Bullock practices at 1 Medical Center Dr, Lebanon, NH 03756. The listed phone number is (603) 650-3600.

What is Brittany Bullock's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Brittany Bullock enrolled in Medicare?

Yes. Brittany Bullock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brittany Bullock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brittany Bullock reassigns Medicare benefits to Chmc Otolaryngologic Foundation, Inc (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brittany Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brittany Bullock accept?

Health plans from Taro Health list Brittany Bullock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brittany Bullock was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.