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KIMBERLY BROOKE BULLOCK
NPI 1790633212
Specialist/Technologist, Other - Surgical Assistant in Stafford, VA

Active since March 19, 2026
101 HOSPITAL CENTER BLVD, STAFFORD, VA 22554(540) 741-9000 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Brooke Bullock NPPES

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

KIMBERLY BROOKE BULLOCK (NPI 1790633212) is an individual surgical assistant in Stafford, Virginia, licensed in Virginia (0136001137) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1790633212
Entity TypeIndividualFemale
Primary Taxonomy246ZC0007X
Provider Legal NameKIMBERLY BROOKE BULLOCK
Location Address101 HOSPITAL CENTER BLVDStafford, VA 22554-6200
Mailing Address7806 Chancellors Pond LnFredericksburg, VA 22407-8765
Phone(540) 741-9000
Sole ProprietorYes
Enumeration DateMarch 19, 2026
NPPES CertifiedMarch 19, 2026
✔ NPI 1790633212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in VA · 0136001137
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
101 HOSPITAL CENTER BLVD, Stafford, VA 22554
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Other Providers at the Same Location NPPES 13

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

STAFFORD HOSPITAL, LLC
General Acute Care Hospital
101 HOSPITAL CENTER BLVD
STAFFORD, VA 22554
Stafford County (540) 741-1821
MICHAEL DAVID JOHNSON PAC
Physician Assistant
101 HOSPITAL CENTER BLVD
STAFFORD, VA 22554
Stafford County (703) 547-7617
GINA LOUISE GALLIZZI M.D.
Pediatrics
101 HOSPITAL CENTER BLVD
STAFFORD, VA 22554
Stafford County (813) 786-8261
RADIOLOGIC ASSOCIATES OF FREDERICKSBURG LTD
Clinic/Center (Radiology)
101 HOSPITAL CENTER BLVD
STAFFORD, VA 22554
Stafford County (540) 741-9000
AHMAD SHAH AZIZ I DO
Internal Medicine
101 HOSPITAL CENTER BLVD
STAFFORD, VA 22554
Stafford County (540) 741-9000
MRS. TAMMY MANISCALCO FNP
Nurse Practitioner (Family)
101 HOSPITAL CENTER BLVD
STAFFORD, VA 22554
Stafford County (540) 741-9248
TINA BROOKS RN
Registered Nurse (Obstetric, Inpatient)
101 HOSPITAL CENTER BLVD
STAFFORD, VA 22554
Stafford County (540) 741-9299
DR. MARYAM MAHMOUDZADEH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
101 HOSPITAL CENTER BLVD
STAFFORD, VA 22554
Stafford County (540) 741-9000

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 Kimberly Bullock's NPI number?

The NPI number for Kimberly Bullock is 1790633212. It was assigned to this individual provider in the NPPES registry on March 19, 2026.

Where is Kimberly Bullock located?

Kimberly Bullock practices at 101 Hospital Center Blvd, Stafford, VA 22554. The listed phone number is (540) 741-9000.

What is Kimberly Bullock's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Kimberly Bullock was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.