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DR. CHARLES A. BULLABOY M.D.
NPI 1699724245
Pediatrics - Pediatric Cardiology in Norfolk, VA

Active since May 10, 2006
601 CHILDRENS LN, NORFOLK, VA 23507(757) 668-7213(757) 668-8225 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles A. Bullaboy M.d. NPPES

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

DR. CHARLES A. BULLABOY M.D. (NPI 1699724245) is an individual pediatric cardiology provider in Norfolk, Virginia, licensed in Virginia (0101028010) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1699724245
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. CHARLES A. BULLABOYCredential: M.D.
Location Address601 CHILDRENS LNNorfolk, VA 23507-1910
Mailing AddressPo Box 79137Baltimore, MD 21279-0137 · (757) 668-7200 · Fax (757) 668-9691
Phone(757) 668-7213
Fax(757) 668-8225
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateNovember 29, 2012
✔ NPI 1699724245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in VA · 0101028010
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 0101058010 (VA)
601 CHILDRENS LN, Norfolk, VA 23507
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Other Identifiers 7

Medicare UPINB06494
Medicaid7905245NC
Medicare ID-Type Unspecified060000820VA
Medicaid0016948820001PA
Medicaid0197625000WV
Medicaid006722296VA
Medicaid119541700MD

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.

BELINDA JAMES-PETERSEN CPNP
Nurse Practitioner (Pediatrics)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7240
KELLY PATINO TREJO LCSW
Social Worker (Clinical)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7931
ALIYAH RAYHANAH MOHAMMED MD
Student in an Organized Health Care Education/Training Program
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7000
SWETHA MORA M.B.B.S
Student in an Organized Health Care Education/Training Program
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7272
KACIE DENISE CARTER CPNP
Nurse Practitioner (Pediatrics)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-8796
PETER M DOZIER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-8866
STEPHEN C. RESTAINO DO
Pediatrics
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7179
MICHAEL LEE SMITH M.D.
Pediatrics
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7456

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 Charles Bullaboy's NPI number?

The NPI number for Charles Bullaboy is 1699724245. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Charles Bullaboy located?

Charles Bullaboy practices at 601 Childrens Ln, Norfolk, VA 23507. The listed phone number is (757) 668-7213.

What is Charles Bullaboy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

When was this NPI record last updated?

The NPPES record for Charles Bullaboy was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.