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

Dr. Brian W Bullock

Individual provider Family Medicine Physician · NPI 1376648311

Dr. Brian W Bullock is a Family Practice in Bryn Mawr, Pennsylvania. Graduated from Georgetown University School of Medicine in 1984, 42 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
42
Trained at
Georgetown University School of Medicine
Licensed in
PA
In the registry since
2006
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Practice location Address checks out

933 E Haverford Rd
Bryn Mawr, PA 19010-3819
Phone: (610) 649-6400
Fax: (610) 649-7971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD040154L (PA)

Record details

NPI number1376648311
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESSeptember 17, 2014
Mailing address933 E Haverford Rd, Bryn Mawr, PA 19010-3819

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bryn Mawr