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

Michael Bullock

Individual provider Emergency Medicine Physician · NPI 1003610130

Michael Bullock is an Emergency Medicine Physician in Columbia, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2025

Practice location Address checks out

14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896
Phone: (803) 434-3790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence LL93974 (SC)

Record details

NPI number1003610130
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address14 Richland Medical Park Dr Ste 350, Columbia, SC 29203-6896

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