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

Gregory Bull, PA-C

Individual provider Physician Assistant · NPI 1639614852

Gregory Bull, PA-C is a Physician Assistant in Roanoke, Virginia. Qualified in 2016, 10 years ago. Practices with Carilion Medical Center, a 951-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
10
Licensed in
VA
In the registry since
2016
Specialties on file
2
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

3 Riverside Cir
Roanoke, VA 24016-4955
Phone: (540) 224-5170
Fax: (540) 985-9427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 622 Fernwood Dr, Salem, VA 24153-2654 — (732) 533-8236

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110005617 (VA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1639614852
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 24, 2016
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Carilion Medical Center — 951 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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