NEAL M BULLOCK DPM PA
NPI 1598935249
Podiatrist in Pembroke Pines, FL

Active since March 10, 2008CLIA 10D2177228 · Certificate of Compliance
17013 PINES BLVD, PEMBROKE PINES, FL 33027(954) 450-4200(954) 450-4237 Get Directions Write a Review

NPPES record last updated: May 20, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Neal M Bullock Dpm Pa NPPES

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

NEAL M BULLOCK DPM PA (NPI 1598935249) is a healthcare organization registered as a podiatrist in Pembroke Pines, Florida and active in the NPI registry since March 2008. The organization holds a CLIA Certificate of Compliance certificate valid through May 18, 2028 and lists Neal M Bullock, President Owner, as its authorized official.

NPPES Registry Identity

NPI1598935249
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNEAL M BULLOCK DPM PA
Location Address17013 PINES BLVDPembroke Pines, FL 33027-1003
Mailing Address17013 Pines BlvdPembroke Pines, FL 33027-1003 · (954) 450-4200 · Fax (954) 450-4237
Fax(954) 450-4237
Organization SubpartNo
Authorized OfficialNeal M BullockPresident Owner · (954) 450-4200
Enumeration DateMarch 10, 2008
Last NPPES UpdateMay 20, 2011
✔ NPI 1598935249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in FL · PO2571
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
17013 PINES BLVD, Pembroke Pines, FL 33027

Other Identifiers 2

Medicare NSC1298140001FL
Medicaid390394000FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neal M Bullock Dpm Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Neal M Bullock DPM PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Podiatry
NPI 1902912793
17013 PINES BLVD
Pembroke Pines, FL 33027
(954) 450-4200
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1578917555
8201 W BROWARD BLVD
Plantation, FL 33324
(954) 452-6124
✔ PECOS✔ Accepts Medicare11 mi
Pathology
NPI 1295092583
3561 SW 10TH ST
Pompano Beach, FL 33069
(954) 977-7959
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2177228

Neal M Bullock Dpm PA · Pembroke Pines, FL
Active · expires May 18, 2028
CLIA Number10D2177228
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorEdwin L. Kamstock
Laboratory Phone(954) 450-4200
Laboratory LocationNeal M Bullock Dpm PA17013 Pines Blvd, Room #2, Pembroke Pines, FL 33027
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Neal M Bullock Dpm PA's NPI number?

The NPI number for Neal M Bullock Dpm PA is 1598935249. It was assigned to this organization in the NPPES registry on March 10, 2008.

Where is Neal M Bullock Dpm PA located?

Neal M Bullock Dpm PA is located at 17013 Pines Blvd, Pembroke Pines, FL 33027. The listed phone number is (954) 450-4200.

What is Neal M Bullock Dpm PA's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Neal M Bullock Dpm PA enrolled in Medicare?

Yes. Neal M Bullock Dpm PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neal M Bullock Dpm PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Neal M Bullock Dpm PA, in Pathology and Podiatry. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Neal M Bullock Dpm PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2177228) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Neal M Bullock Dpm PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Florida Blue (BlueCross BlueShield FL) list Neal M Bullock Dpm PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Neal M Bullock Dpm PA was last updated on May 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.