Dr. Matthew Wayne Bullock
Adult Reconstructive Orthopaedic Surgeon
1600 Medical Center Dr Ste G500
Huntington
, West Virginia 25701-3659
Dr. Matthew Wayne Bullock
Adult Reconstructive Orthopaedic Surgeon
1600 Medical Center Dr Ste G500
Huntington
, West Virginia 25701-3659
(304) 691-8722
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Matthew Wayne Bullock
- 1249 15th St Ste 4093
- Huntington, WV
- Zip : 25701-3662
- Phone : (304) 691-8722
Second Address
- Dr. Matthew Wayne Bullock
- 1600 Medical Center Dr Ste G500
- Huntington, WV
- Zip : 25701-3659
- Phone : (304) 691-1262
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 2014-00364 | NC |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 3280 | WV |
National Provider Identifier
| NPI | 1316171580 |
|---|---|
| Provider Name | Dr. Matthew Wayne Bullock |
| First Address | Huntington, WV 25701-3662 |
| Second Address | Huntington, WV 25701-3659 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2009 |
| Last Update Date | 17/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.