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

Rose Marie Shaw-Bullock, MD

Individual provider Family Medicine Physician · NPI 1790749943

Rose Marie Shaw-Bullock, MD is a Family Practice in N Little Rock, Arkansas. Graduated from University of Arkansas College of Medicine in 1994, 32 years ago. Practices with North Little Rock Primary Care and Diagnostic Clinic PLLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
32
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 W Pershing Blvd
N Little Rock, AR 72114-2146
Phone: (501) 771-7717
Fax: (501) 771-0550
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence E0873 (AR)

Record details

NPI number1790749943
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2006
Last updated in NPPESAugust 2, 2010

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice North Little Rock Primary Care And Diagnostic Clinic Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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