JEFFREY DALE BULLOCK PT
NPI 1922297613
Physical Therapist - Neurology in Camp Pendleton, CA

Q: What is Jeffrey Bullock's NPI number?

The NPI number for Jeffrey Bullock is 1922297613. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Q: What is Jeffrey Bullock's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey 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.

Active since October 17, 2007

2016 SAN JACINTO RD, CAMP PENDLETON, CA 92054(760) 719-4191(760) 719-4267 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, Feb 11, 2019 (2 updates tracked since 2019).

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About Jeffrey Dale Bullock Pt NPPES

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

JEFFREY DALE BULLOCK PT (NPI 1922297613) is an individual neurology provider in Camp Pendleton, California, licensed in Colorado (0011340) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1922297613

Entity TypeIndividualMale

Primary Taxonomy2251N0400X

Provider Legal NameJEFFREY DALE BULLOCKCredential: PT

Location Address2016 SAN JACINTO RDCamp Pendleton, CA 92054

Mailing Address2016 San Jacinto RdCamp Pendleton, CA 92054 · (760) 719-4191 · Fax (760) 719-4267

Phone(760) 719-4191

Fax(760) 719-4267

Sole ProprietorYes

Enumeration DateOctober 17, 2007

Last NPPES UpdateMay 16, 20242 updates tracked since enumeration

NPPES CertifiedMay 9, 2024

✔ NPI 1922297613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251N0400X

License✔ Licensed in CO · 0011340

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

Also ListedPhysical TherapistTaxonomy 225100000X · License PTL.0011340 (CO)

2016 SAN JACINTO RD, Camp Pendleton, CA 92054

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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 Jeffrey Bullock's NPI number?

The NPI number for Jeffrey Bullock is 1922297613. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Where is Jeffrey Bullock located?

Jeffrey Bullock practices at 2016 San Jacinto Rd, Camp Pendleton, CA 92054. The listed phone number is (760) 719-4191.

What is Jeffrey Bullock's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

When was this NPI record last updated?

The NPPES record for Jeffrey 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.