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

Individual provider Physician Assistant · NPI 1730036203

Lydia Elizabeth Bullock, PA-C is a Physician Assistant in Fredericksburg, Virginia. Qualified in 2025, 1 year ago. Practices with Mary Washington Healthcare Providers LLC, a 261-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2026
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

1031 Care Way
Fredericksburg, VA 22401-8425
Phone: (540) 371-7600
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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 0110011783 (VA)

Record details

NPI number1730036203
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 13, 2026
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mary Washington Healthcare Providers Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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