CATHERINE CHRISTINA BULLOCK MD
NPI 1366028037
Radiology - Diagnostic Radiology in Jacksonville, FL
About Catherine Christina Bullock Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CATHERINE CHRISTINA BULLOCK MD (NPI 1366028037) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Florida (ME158744) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Catherine Christina Bullock Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Catherine Bullock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32224
- Reassigned Medicare billing, Florida enrollment
- 1,828 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
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 Catherine Bullock's NPI number?
The NPI number for Catherine Bullock is 1366028037. It was assigned to this individual provider in the NPPES registry on March 22, 2021.
Where is Catherine Bullock located?
Catherine Bullock practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Catherine Bullock's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Catherine Bullock enrolled in Medicare?
Yes. Catherine Bullock is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Catherine Bullock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Bullock reassigns Medicare benefits to Mayo Clinic Jacksonville (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Catherine Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Catherine Bullock was last updated on March 21, 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.
# Catherine Christina Bullock, MD · NPI 1366028037
Diagnostic Radiology physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since March 22, 2021.
## Identity
- **NPI:** 1366028037 (Entity type: Individual)
- **Enumerated:** March 22, 2021
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** ME158744 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 953-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mayo Clinic Jacksonville (NPI 1174143986, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366028037) · Data from the CMS NPPES public registry.