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

Individual provider Specialist · NPI 1508046376

Edgar Mark Bulloch, MD is an Obstetrics/Gynecology in El Cajon, California. Qualified in 2006, 20 years ago. Practices with Neighborhood Healthcare, a 152-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
20
Licensed in
CA, TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

133 W Main St Ste 100
El Cajon, CA 92020-3325
Phone: (619) 401-0404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1809 National Avenue, San Diego, CA 92113 — (619) 515-2300

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence A113241 (CA)
Specialist Taxonomy 174400000X · Licence BP10025759 (TX)

Record details

NPI number1508046376
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 9, 2007
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021
Mailing address823 Gateway Center Way, San Diego, CA 92102-4541

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Neighborhood Healthcare — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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