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

Gabrielle Elaina Bulleman, PA-C

Individual provider Pediatrics Physician · NPI 1629952411

Gabrielle Elaina Bulleman, PA-C is a Pediatrics Physician in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2025.

Licensed in
SC
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8120 Rourk St
Myrtle Beach, SC 29572-4127
Phone: (843) 449-1438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 5955 (SC)

Record details

NPI number1629952411
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 4, 2025
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

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