Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon Bullock

Individual provider Physical Therapist · NPI 1114560604

Brandon Bullock is a Physical Therapist in Woodstock, Georgia. Licensed in Georgia. Registered with an NPI since 2019.

Licensed in
GA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

12050 Highway 92 Ste 116
Woodstock, GA 30188-4287
Phone: (770) 516-3072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT014444 (GA)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1114560604
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 28, 2019
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022
Mailing address6397 Lee Hwy, Chattanooga, TN 37421-2564

Other providers in Woodstock