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SHADRICK BULLOCK
NPI 1235025958
Peer Specialist in Owasso, OK

Active since June 17, 2025
8344 N 117TH EAST AVE, OWASSO, OK 74055(918) 841-3794 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shadrick Bullock NPPES

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

SHADRICK BULLOCK (NPI 1235025958) is an individual peer specialist in Owasso, Oklahoma and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1235025958
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSHADRICK BULLOCK
Location Address8344 N 117TH EAST AVEOwasso, OK 74055-2136
Mailing Address8344 N 117th East AveOwasso, OK 74055-2136 · (918) 841-3794
Phone(918) 841-3794
Sole ProprietorNo
Enumeration DateJune 17, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1235025958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
8344 N 117TH EAST AVE, Owasso, OK 74055
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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 Shadrick Bullock's NPI number?

The NPI number for Shadrick Bullock is 1235025958. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Shadrick Bullock located?

Shadrick Bullock practices at 8344 N 117th East Ave, Owasso, OK 74055. The listed phone number is (918) 841-3794.

What is Shadrick Bullock's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shadrick Bullock was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.