Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John W Bullock, PA-C

Individual provider Physician Assistant · NPI 1194799775

John W Bullock, PA-C is a Physician Assistant in Colorado Springs, Colorado. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

2785 Boleyn Dr
Colorado Springs, CO 80920-5383
Phone: (719) 265-0017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013098 (NY)

Record details

NPI number1194799775
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESOctober 22, 2014

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