GINA M BULLOCK DPM
NPI 1255440020
Podiatrist - Foot & Ankle Surgery in Portland, OR

Active since August 29, 2006PECOS Enrolled
3508 NE BROADWAY ST, PORTLAND, OR 97232(503) 282-8777(503) 282-8853 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gina M Bullock Dpm NPPES

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

GINA M BULLOCK DPM (NPI 1255440020) is an individual foot & ankle surgery provider in Portland, Oregon, licensed in Oregon (DP00244) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1992).

NPPES Registry Identity

NPI1255440020
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameGINA M BULLOCKCredential: DPM
Location Address3508 NE BROADWAY STPortland, OR 97232-1821
Mailing Address3508 Ne Broadway StPortland, OR 97232-1821 · (503) 282-8777 · Fax (503) 282-8853
Fax(503) 282-8853
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1992
Enumeration DateAugust 29, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1255440020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in OR · DP00244
3508 NE BROADWAY ST, Portland, OR 97232

Other Identifiers 1

Medicaid083431OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gina M Bullock Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557336567
PECOS Enrollment IDI20040901000519
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
271 services121 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
185 services75 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
107 services107 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
78 services37 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
28 services23 patients
Permanent removal fingernail or toenail 11750
Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.
14 services13 patients

Other Providers at the Same Location NPPES

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

Podiatrist (Foot & Ankle Surgery)
3508 NE BROADWAY ST
PORTLAND, OR 97232

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 Gina Bullock's NPI number?

The NPI number for Gina Bullock is 1255440020. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Gina Bullock located?

Gina Bullock practices at 3508 NE Broadway St, Portland, OR 97232. The listed phone number is (503) 282-8777.

What is Gina Bullock's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Gina Bullock enrolled in Medicare?

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

What insurance does Gina Bullock accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Gina 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 Gina Bullock was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.