Gina M Bullock is a Portland, Oregon based female podiatrist with 32 years of experience in Podiatric Foot & Ankle Surgery. She completed her graduation from California School Of Podiatric Medicine in 1992. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Gina M Bullock for Podiatric Foot & Ankle Surgery is DP00244 in Oregon. Gina M Bullock provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. She is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Gina M Bullock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot & Ankle Surgery
Credentials:
DPM
Experience:
32+ years
Medical School Attended:
California School Of Podiatric Medicine
Graduation Year:
1992
Gender:
Female
Accepts Medicare Assignment:
May Accept
Practice Address:
3508 Ne Broadway St, Portland, Oregon, 97232-1821
Phone:
503-282-8777
Fax:
503-282-8853
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1557336567
Enrollment ID:
I20040901000519
NPI Number:
1255440020
NPI Enumeration Date:
29 Aug, 2006
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gina M Bullock are as mentioned below.
License Number
Specialization
State
Status
DP00244
Podiatric Foot & Ankle Surgery
Oregon
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Gina M Bullock is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Broadway Foot And Ankle Clinic Pc (3274631841)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Gina M Bullock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
083431
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3508 Ne Broadway St, Portland, Oregon
Zip:
97232-1821
Phone Number:
503-282-8777
Fax Number:
503-282-8853
Patients can reach Gina M Bullock at 3508 Ne Broadway St, Portland, Oregon or can call to book an appointment on 503-282-8777. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Edward Theodore Ysunza Iv Speciality: Podiatrist - Foot & Ankle Surgery Address: 3710 Sw Us Veterans Hospital Rd, OR Phone: 503-220-8262
Dr. Brian M. Bowen, D.P.M. 19+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 1717 Ne 42nd Ave, Suite 3300, OR Phone: 503-284-2000 Fax: 503-284-2002
Ray A Mcclanahan, DPM Speciality: Podiatrist Address: 725 Nw 19th Ave, OR Phone: 503-243-2699 Fax: 503-243-2698
Paul Clint Jones, D.P.M. 27+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 8305 Se Monterey Ave #101, OR Phone: 503-652-1121 Fax: 503-652-2193
Zackery David Nance, DPM 13+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 5050 Ne Hoyt St, Suite 428, OR Phone: 503-963-2964 Fax: 503-963-2966