DR. EDDYE J BULLOCK MD
NPI 1366510703
Internal Medicine in Baltimore, MD

Active since December 02, 2006PECOS EnrolledAccepts Medicare Assignment
7141 SECURITY BLVD, KASIER PERMANENTE WOODLAWN MEDICAL CENTER, BALTIMORE, MD 21244(443) 663-6000(443) 663-6215 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Eddye J Bullock Md NPPES

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

DR. EDDYE J BULLOCK MD (NPI 1366510703) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D57214) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (1998).

NPPES Registry Identity

NPI1366510703
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDDYE J BULLOCKCredential: MD
Location Address7141 SECURITY BLVD, KASIER PERMANENTE WOODLAWN MEDICAL CENTERBaltimore, MD 21244-1811
Mailing Address2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 WestRockville, MD 20852-4908 · (301) 816-6660 · Fax (301) 816-6308
Fax(443) 663-6215
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1998
Enumeration DateDecember 2, 2006
Last NPPES UpdateJune 7, 2021
NPPES CertifiedJune 7, 2021
NPI 1366510703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D57214
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

7141 SECURITY BLVD, Baltimore, MD 21244

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Eddye J Bullock Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456316553
PECOS Enrollment IDI20041201000119
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physician Assistant
7141 SECURITY BLVD
WINDSOR MILL, MD 21244
Radiology (Diagnostic Radiology)
7141 SECURITY BLVD
BALTIMORE, MD 21244
Internal Medicine
7141 SECURITY BLVD
BALTIMORE, MD 21244
Pharmacist (Pharmacotherapy)
7141 SECURITY BLVD
BALTIMORE, MD 21244
Pharmacist
7141 SECURITY BLVD
BALTIMORE, MD 21244
Pharmacist
7141 SECURITY BLVD
BALTIMORE, MD 21244
Nutritionist
7141 SECURITY BLVD
BALTIMORE, MD 21244
Pediatrics
7141 SECURITY BLVD, WOODLAWN MEDICAL CENTER
BALTIMORE, MD 21244

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366510703, enumerated as an "individual" on December 02, 2006.

The provider is located at 7141 SECURITY BLVD KASIER PERMANENTE WOODLAWN MEDICAL CENTER BALTIMORE, MD 21244 and the phone number is (443) 663-6000.

Internal Medicine with taxonomy code 207R00000X.