Individual provider · Type 1 NPI

Wendell Bart Bullock, PA-C

Physician Assistant · Fort Bragg, NC

NPI number 1689807612 Active

Practice location

2817 Rock Merritt Ave
Fort Bragg, NC 28310-6621

Call (910) 907-8922 Map

Fax (910) 907-6069

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA00163 (MS)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1689807612

Wendell Bart Bullock, PA-C's National Provider Identifier is 1689807612, issued on Aug 25, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Bragg, NC. The record was last updated on Mar 17, 2025.