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

Chad Bullock, FNP-C

Individual provider Family Nurse Practitioner · NPI 1447642517

Chad Bullock, FNP-C is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2014, 12 years ago. Practices with Spine and Wellness Medical Group PLLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
12
Licensed in
NV
In the registry since
2015
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

8420 S Eastern Ave Ste 101
Las Vegas, NV 89123-2875
Phone: (702) 483-3554
Fax: (725) 267-1020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1321 S Rainbow Blvd Ste 101, Las Vegas, NV 89146-9047 — (702) 476-2287

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN001894 (NV)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 001894 (NV)

Record details

NPI number1447642517
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 26, 2015
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Spine And Wellness Medical Group Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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