GABRIELLE ELAINA BULLEMAN PA-C - NPI 1629952411 - Pediatrics in Myrtle Beach, SC

Q: What is Gabrielle Bulleman's NPI number?

The NPI number for Gabrielle Bulleman is 1629952411. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Q: What is Gabrielle Bulleman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Gabrielle Elaina Bulleman Pa-c NPPES

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

GABRIELLE ELAINA BULLEMAN PA-C (NPI 1629952411) is an individual pediatrics provider in Myrtle Beach, South Carolina, licensed in South Carolina (5955) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1629952411

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameGABRIELLE ELAINA BULLEMANCredential: PA-C

Location Address8120 ROURK STMyrtle Beach, SC 29572-4127

Mailing Address8120 Rourk StMyrtle Beach, SC 29572-4127 · (843) 449-1438

Phone(843) 449-1438

Sole ProprietorNo

Enumeration DateAugust 4, 2025

Last NPPES UpdateMay 5, 20262 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1629952411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in SC · 5955

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

8120 ROURK ST, Myrtle Beach, SC 29572

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