NEAL M BULLOCK (DPM) – Podiatrist, NPI 1902912793

NEAL M BULLOCK (DPM) is a healthcare provider. based in Pembroke pines, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO0002571 (FL). The NPI Number for NEAL M BULLOCK (DPM) is 1902912793

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
NEAL M BULLOCK (DPM)
NPI
1902912793
Phone
(954) 450-4200
Address
17013 PINES BLVD
Enumeration Date
22 August 2006
Last Update Date
20 May 2011

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
9544504200
Graduation Year
1995 (31 years ago)
PAC ID
4688784812
Group Practice PAC ID
5890972723
Professional Enrollment ID
I20110712000367
Address ID
FL330271003PE17013BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

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Provider Addresses for NEAL M BULLOCK (DPM)

  • Pines Boulevard, Pembroke Pines, Broward County, Florida, 33024, United States

    PEMBROKE PINES, FL 330271003

    Phone: (954) 450-4200

    Fax: (954) 450-4237

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,020.

Total Amount is formed as General ($1,020) + Research ($0) + Ownership ($0) = $1,020.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: ABBVIE INC. ($222).

Total Amount

$1,020

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,020

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110712000367IPodiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes922235$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes857250$0
11730Simple separation of fingernail or toenail from nail bed, first nail179129$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes17960$0
97597Removal of tissue from wound, 20.0 sq cm or less17474$0
View full utilization report →

Insurance plans in this area (ZIP 33027)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890972723View full group profile
NameSpecialtyState
P O D I A T R YFL
P A T H O L O G YFL

Reviews

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Frequently asked questions

How is NEAL M BULLOCK (DPM) identified in CMS data?
CMS-hosted NPPES data lists NEAL M BULLOCK (DPM) with NPI 1902912793.
Is NEAL M BULLOCK (DPM) listed as active for patients and plans?
The listing shows NEAL M BULLOCK (DPM) as active in the NPI system.
What is NEAL M BULLOCK (DPM) best known for clinically?
Directory data describes NEAL M BULLOCK (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
Does NEAL M BULLOCK (DPM) list a practice location?
Patients near Pembroke Pines, Florida may find NEAL M BULLOCK (DPM) in results; validate coverage separately.
Why does NEAL M BULLOCK (DPM) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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