1. Home
  2. Directory
  3. Florida
  4. Rockledge
  5. Internal Medicine
  6. NPI Profile

TULLY T. BLALOCK JR. MD
NPI 1417004359
Internal Medicine in Rockledge, FL

Active since January 04, 2007
220 BARTON BLVD, UNIT C14, ROCKLEDGE, FL 32955(321) 639-5177(321) 639-4927 Get Directions Write a Review

NPPES record last updated: September 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tully T. Blalock Jr. Md NPPES

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

TULLY T. BLALOCK JR. MD (NPI 1417004359) is an individual internal medicine provider in Rockledge, Florida, licensed in Florida (ME26001) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1417004359
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTULLY T. BLALOCK JR.Credential: MD
Location Address220 BARTON BLVD, UNIT C14Rockledge, FL 32955-2742
Mailing AddressPo Box 1137Melbourne, FL 32902-1137 · (321) 952-9696 · Fax (321) 952-7937
Phone(321) 639-5177
Fax(321) 639-4927
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateSeptember 12, 2011
✔ NPI 1417004359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME26001
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.
220 BARTON BLVD, Rockledge, FL 32955
Open in Google Maps ↗

Other Identifiers 2

Medicaid002048700FL
Medicare UPIND64238FL

Other Providers at the Same Location NPPES 13

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

LAURA MARIE MENDOZA D.O.
Family Medicine
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
BREVARD HEALTH ALLIANCE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
220 BARTON BLVD, UNIT #C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
AVRIL ASSON ARNP
Nurse Practitioner (Family)
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
DR. HAGEN V. HASTINGS D.M.D.
Dentist (General Practice)
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
THE BREVARD HEALTH ALLIANCE INC
General Practice
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
JUSTIN CONRAD KOENITZER PSYD
Psychologist (Clinical)
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
BREVARD HEALTH ALLIANCE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177
CATHERINE CASEY RCSWI
Social Worker
220 BARTON BLVD, UNIT C14
ROCKLEDGE, FL 32955
Brevard County (321) 639-5177

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 Tully Blalock's NPI number?

The NPI number for Tully Blalock is 1417004359. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Tully Blalock located?

Tully Blalock practices at 220 Barton Blvd Unit C14, Rockledge, FL 32955. The listed phone number is (321) 639-5177.

What is Tully Blalock's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Tully Blalock was last updated on September 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.