EDGAR MARK BULLOCH MD
NPI 1508046376
Obstetrics & Gynecology in El Cajon, CA
About Edgar Mark Bulloch Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDGAR MARK BULLOCH MD (NPI 1508046376) is an individual obstetrics & gynecology provider in El Cajon, California, licensed in California (A113241) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Edgar Mark Bulloch 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.
Medicare Billing Reassignment
Medicare enrollment records show Edgar Bulloch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Escondido, CA 92025
- Reassigned Medicare billing, California enrollment
- 332 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 92020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EL CAJON, CA 92020
EL CAJON, CA 92020
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 Edgar Bulloch's NPI number?
The NPI number for Edgar Bulloch is 1508046376. It was assigned to this individual provider in the NPPES registry on November 9, 2007.
Where is Edgar Bulloch located?
Edgar Bulloch practices at 133 W Main St Ste 100, El Cajon, CA 92020. The listed phone number is (619) 401-0404.
What is Edgar Bulloch's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Edgar Bulloch enrolled in Medicare?
Yes. Edgar Bulloch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Edgar Bulloch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Bulloch reassigns Medicare benefits to Neighborhood Healthcare (Escondido, CA). 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 Edgar Bulloch'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 Edgar Bulloch was last updated on May 26, 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.
# Edgar Mark Bulloch, MD · NPI 1508046376
Obstetrics & Gynecology physician in El Cajon, California. Individual provider, active in the CMS NPPES registry since November 9, 2007.
## Identity
- **NPI:** 1508046376 (Entity type: Individual)
- **Enumerated:** November 9, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** A113241 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 133 W MAIN ST STE 100, El Cajon, CA 92020-3325
- **Phone:** (619) 401-0404
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Neighborhood Healthcare (NPI 1598703647, Escondido, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** May 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1508046376) · Data from the CMS NPPES public registry.