DR. TRAVIS SHANE BULLOCK MD
NPI 1285216325
Orthopaedic Surgery in San Antonio, TX

Q: What is Travis Bullock's NPI number?

The NPI number for Travis Bullock is 1285216325. It was assigned to this individual provider in the NPPES registry on April 27, 2021.

Q: What is Travis Bullock's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Travis Bullock was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 27, 2021

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 450-9300 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Travis Shane Bullock Md NPPES

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

DR. TRAVIS SHANE BULLOCK MD (NPI 1285216325) is an individual orthopaedic surgery provider in San Antonio, Texas, licensed in Texas (725298) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1285216325

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. TRAVIS SHANE BULLOCKCredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address2623 Obera WaySan Antonio, TX 78228-3411 · (210) 709-3434

Phone(210) 450-9300

Sole ProprietorYes

Enumeration DateApril 27, 2021

NPPES CertifiedApril 27, 2021

✔ NPI 1285216325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · 725298

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

4502 MEDICAL DR, San Antonio, TX 78229

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

EDUARDO N. POLLONO MD

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