JAMAL MORRISETTE BULLOCKS (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1134249451

JAMAL MORRISETTE BULLOCKS (M.D.) is a healthcare provider. based in Pearland, Texas. specializing in Plastic and Reconstructive Surgery Physician. They hold the professional credentials M.D.. They hold a License No. M5077 (TX). The NPI Number for JAMAL MORRISETTE BULLOCKS (M.D.) is 1134249451

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
JAMAL MORRISETTE BULLOCKS (M.D.)
NPI
1134249451
Phone
(713) 442-0000
Address
11511 SHADOW CREEK PKWY
Enumeration Date
30 March 2007
Last Update Date
5 October 2021

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7134424849
Graduation Year
2001 (25 years ago)
PAC ID
8820197205
Group Practice PAC ID
9739093527
Professional Enrollment ID
I20070626000412
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for JAMAL MORRISETTE BULLOCKS (M.D.)

  • 11511 SHADOW CREEK PKWY

    PEARLAND, TX 775847298

    Phone: (713) 442-0000

    Type: Mailing

  • 2727 W HOLCOMBE BLVD

    HOUSTON, TX 770251669

    Phone: (713) 442-0000

    Type: Location

  • 2813 WTC JESTER BLVD.

    HOUSTON, TX 770187004

    Phone: (713) 715-7083

    Fax: (866) 224-6704

    Type: Mailing

  • 2813 WTC JESTER BLVD

    HOUSTON, TX 770187004

    Phone: (713) 715-7083

    Fax: (866) 224-6704

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $1,635.

Total Amount is formed as General ($1,635) + Research ($0) + Ownership ($0) = $1,635.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Mentor Worldwide LLC ($455).

Total Amount

$1,635

General + Research + Ownership

Payments

24

Total payment records

General Amount

$1,635

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

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: 2007-06-26

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
I20070626000412IPlastic And Reconstructive SurgeryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77584)

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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: 9739093527View full group profile
NameSpecialtyState
-TX
-TX
Hospitalist, Internal MedicineTX
N E U R O L O G YTX
D E R M A T O L O G YTX
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseTX
-TX
Physician AssistantTX
Family PracticeTX
Physician AssistantMA

Reviews

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Frequently asked questions

Can I use this page to confirm JAMAL MORRISETTE BULLOCKS (M.D.)'s NPI?
Yes. JAMAL MORRISETTE BULLOCKS (M.D.) is listed with NPI 1134249451 in the public NPI dataset.
Is JAMAL MORRISETTE BULLOCKS (M.D.) listed as active for patients and plans?
The listing shows JAMAL MORRISETTE BULLOCKS (M.D.) as active in the NPI system.
What is JAMAL MORRISETTE BULLOCKS (M.D.) best known for clinically?
Directory data describes JAMAL MORRISETTE BULLOCKS (M.D.) with Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JAMAL MORRISETTE BULLOCKS (M.D.)?
JAMAL MORRISETTE BULLOCKS (M.D.)'s geographic hint is Pearland, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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