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

Individual provider Nurse Practitioner · NPI 1174802565

Stacie Maree Bullock, CRNP is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2010, 16 years ago. Practices with Urology Centers of Alabama, PC, a 60-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
16
Licensed in
AL
In the registry since
2011
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

3485 Independence Dr
Birmingham, AL 35209-5603
Phone: (205) 930-0920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1-110629 (AL)

Record details

NPI number1174802565
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 16, 2011
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Urology Centers Of Alabama, Pc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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