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

Tara L. Wyche-Bullock, MD

Individual provider Family Medicine Physician · NPI 1720008931

Tara L. Wyche-Bullock, MD is a Family Practice in Sicklerville, New Jersey. Qualified in 2001, 25 years ago. Practices with Inspira Health Network Medical Group PC, a 240-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
25
Licensed in
NJ
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

485 Williamstown Rd
Sicklerville, NJ 08081-1777
Phone: (856) 237-8100
Fax: (856) 237-8042
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 25MA07694800 (NJ)

Record details

NPI number1720008931
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESJanuary 7, 2022
Certification dateJanuary 7, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Inspira Health Network Medical Group Pc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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