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RODERICK CONLEY BULLOCK
NPI 1932374766
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Active since April 23, 2008
3104 MINTLEAF DRIVE, CHARLOTTE, NC 28269(704) 519-8264 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2022, Feb 3, 2021 (2 updates tracked since 2021).

About Roderick Conley Bullock NPPES

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

RODERICK CONLEY BULLOCK (NPI 1932374766) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1932374766
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRODERICK CONLEY BULLOCK
Location Address3104 MINTLEAF DRIVECharlotte, NC 28269
Mailing Address3104 Mintleaf DrCharlotte, NC 28269-3069 · (704) 589-1478
Phone(704) 519-8264
Sole ProprietorNo
Enumeration DateApril 23, 2008
Last NPPES UpdateSeptember 22, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
✔ NPI 1932374766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3104 MINTLEAF DRIVE, Charlotte, NC 28269
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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 Roderick Bullock's NPI number?

The NPI number for Roderick Bullock is 1932374766. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Roderick Bullock located?

Roderick Bullock practices at 3104 Mintleaf Drive, Charlotte, NC 28269. The listed phone number is (704) 519-8264.

What is Roderick Bullock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Roderick Bullock was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.