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

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1255440020

Gina M Bullock, DPM is a Podiatry in Portland, Oregon. Graduated from California School of Podiatric Medicine in 1992, 34 years ago. Licensed in Oregon.

Years since qualifying
34
Trained at
California School of Podiatric Medicine
Licensed in
OR
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3508 NE Broadway St
Portland, OR 97232-1821
Phone: (503) 282-8777
Fax: (503) 282-8853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DP00244 (OR)

Record details

NPI number1255440020
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Not indicated

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