OLIVER C. BULLOCK DO
NPI 1184625865
Family Medicine in Philadelphia, PA

Active since August 03, 2005
2100 W CAMBRIA ST, PHILADELPHIA, PA 19132(215) 578-3300(215) 578-3335 Get Directions Write a Review

NPPES record last updated: April 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oliver C. Bullock Do NPPES

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

OLIVER C. BULLOCK DO (NPI 1184625865) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS004271L) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1184625865
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameOLIVER C. BULLOCKCredential: DO
Location Address2100 W CAMBRIA STPhiladelphia, PA 19132-2632
Mailing Address2100 W Cambria StPhiladelphia, PA 19132-2632 · (215) 578-3300 · Fax (215) 578-3335
Fax(215) 578-3335
Sole ProprietorNo
Enumeration DateAugust 3, 2005
Last NPPES UpdateApril 8, 2009
NPI 1184625865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OS004271L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2100 W CAMBRIA ST, Philadelphia, PA 19132

Other Identifiers 3

Medicaid000655010PA
Medicare UPIND77390
Medicare PIN105758E7LPA

Other Providers at the Same Location NPPES 8

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

Family Medicine
2100 W CAMBRIA ST
PHILADELPHIA, PA 19132
Pharmacy (Long Term Care Pharmacy)
2100 W CAMBRIA ST
PHILADELPHIA, PA 19132
Family Medicine
2100 W CAMBRIA ST
PHILADELPHIA, PA 19132
Pharmacist
2100 W CAMBRIA ST
PHILADELPHIA, PA 19132
Pharmacist
2100 W CAMBRIA ST
PHILADELPHIA, PA 19132
Family Medicine
2100 W CAMBRIA ST
PHILADELPHIA, PA 19132
Pharmacy (Community/Retail Pharmacy)
2100 W CAMBRIA ST
PHILADELPHIA, PA 19132
Family Medicine
2100 W CAMBRIA ST
PHILADELPHIA, PA 19132

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 Oliver Bullock's NPI number?

The NPI number for Oliver Bullock is 1184625865. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Oliver Bullock located?

Oliver Bullock practices at 2100 W Cambria St, Philadelphia, PA 19132. The listed phone number is (215) 578-3300.

What is Oliver Bullock's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Oliver Bullock was last updated on April 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.