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BRENT BULLOCK LPC
NPI 1659794436
Counselor - Professional in Chesapeake, VA

Active since January 29, 2014PECOS Enrolled
1100 BATTLEFIELD BLVD S UNIT 15777, CHESAPEAKE, VA 23328(757) 296-0414 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2024, Oct 5, 2023, Dec 16, 2020 and 2 more (5 updates tracked since 2016).

About Brent Bullock Lpc NPPES

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

BRENT BULLOCK LPC (NPI 1659794436) is an individual professional provider in Chesapeake, Virginia, licensed in Virginia (0701008190) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1659794436
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRENT BULLOCKCredential: LPC
Location Address1100 BATTLEFIELD BLVD S UNIT 15777Chesapeake, VA 23328-1231
Mailing Address1100 Battlefield Blvd S Unit 15777Chesapeake, VA 23328-1231 · (757) 296-0414
Phone(757) 296-0414
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 29, 2014
Last NPPES UpdateMay 16, 20245 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1659794436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701008190
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH60712904 (WA)
1100 BATTLEFIELD BLVD S UNIT 15777, Chesapeake, VA 23328
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brent Bullock Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557849759
PECOS Enrollment IDI20260212001213
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.

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 Brent Bullock's NPI number?

The NPI number for Brent Bullock is 1659794436. It was assigned to this individual provider in the NPPES registry on January 29, 2014.

Where is Brent Bullock located?

Brent Bullock practices at 1100 Battlefield Blvd S Unit 15777, Chesapeake, VA 23328. The listed phone number is (757) 296-0414.

What is Brent Bullock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brent Bullock enrolled in Medicare?

Yes. Brent Bullock is registered in the Medicare PECOS enrollment system.

What insurance does Brent Bullock accept?

Health plans from UnitedHealthcare list Brent Bullock 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 Brent Bullock was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.