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

Mr. Wendell Bart Bullock, PA-C

Individual provider Physician Assistant · NPI 1689807612

Mr. Wendell Bart Bullock, PA-C is a Physician Assistant in Fort Bragg, North Carolina. Licensed in Mississippi. Registered with an NPI since 2009.

Licensed in
MS
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2817 Rock Merritt Ave
Fort Bragg, NC 28310-6621
Phone: (910) 907-8922
Fax: (910) 907-6069
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00163 (MS)

Record details

NPI number1689807612
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 25, 2009
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

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