ELAINE S BULLOCK
NPI 1326468745
Student in an Organized Health Care Education/Training Program in Shreveport, LA
About Elaine S Bullock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELAINE S BULLOCK (NPI 1326468745) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elaine S Bullock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
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 Elaine Bullock's NPI number?
The NPI number for Elaine Bullock is 1326468745. It was assigned to this individual provider in the NPPES registry on April 24, 2014.
Where is Elaine Bullock located?
Elaine Bullock practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 675-7869.
What is Elaine Bullock's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Elaine Bullock enrolled in Medicare?
Yes. Elaine Bullock is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Elaine Bullock was last updated on August 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Elaine S Bullock · NPI 1326468745
Student in an Organized Health Care Education/Training Program provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since April 24, 2014.
## Identity
- **NPI:** 1326468745 (Entity type: Individual)
- **Enumerated:** April 24, 2014
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1501 KINGS HWY, Shreveport, LA 71103-4228
- **Phone:** (318) 675-7869
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 5, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1326468745) · Data from the CMS NPPES public registry.