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MR. WENDELL BART BULLOCK PA-C
NPI 1689807612
Physician Assistant in Fort Bragg, NC

Active since August 25, 2009
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310(910) 907-8922(910) 907-6069 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Oct 14, 2020 (2 updates tracked since 2020).

About Mr. Wendell Bart Bullock Pa-c NPPES

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

MR. WENDELL BART BULLOCK PA-C (NPI 1689807612) is an individual physician assistant in Fort Bragg, North Carolina, licensed in Mississippi (PA00163) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1689807612
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. WENDELL BART BULLOCKCredential: PA-C
Location Address2817 ROCK MERRITT AVEFort Bragg, NC 28310-6621
Mailing Address2817 Rock Merritt AveFort Bragg, NC 28310-0001 · (910) 907-7000 · Fax (910) 907-6069
Phone(910) 907-8922
Fax(910) 907-6069
Sole ProprietorNo
Enumeration DateAugust 25, 2009
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1689807612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MS · PA00163
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2817 ROCK MERRITT AVE, Fort Bragg, NC 28310
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Other Names 1

Other Name (5)Mr. Bart Bullock Pa-c

Other Identifiers 1

Medicaid03856719MS

Other Providers at the Same Location NPPES 20

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

JOSEPH CLAIR
Nurse Anesthetist, Certified Registered
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
DR. ROBERT JOSEPH ROLLER JR. PT, PHD, DPT, ATC
Physical Therapist (Sports)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
ERIN FOLEY PT, DPT
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8709
MICHAEL ANDREW SLACK DPT
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (224) 715-1689
MRS. COLLEEN MARGARET REMINSKY LAT, ATC
Specialist/Technologist (Athletic Trainer)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 908-9663
ROBERT AUSTIN JONES PA-C
Physician Assistant
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Cumberland County (910) 907-8922
JUSTINA JEAN AHN DMD
Dentist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
JOSEPH PAUL BRITVEN
Student in an Organized Health Care Education/Training Program
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-7698

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 Wendell Bullock's NPI number?

The NPI number for Wendell Bullock is 1689807612. It was assigned to this individual provider in the NPPES registry on August 25, 2009. The provider is also known as Mr. Bart Bullock Pa-C.

Where is Wendell Bullock located?

Wendell Bullock practices at 2817 Rock Merritt Ave, Fort Bragg, NC 28310. The listed phone number is (910) 907-8922.

What is Wendell Bullock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Wendell Bullock was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.