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

Todd E Bullock, APRN

Individual provider Family Nurse Practitioner · NPI 1104822360

Todd E Bullock, APRN is a Nurse Practitioner in Caneyville, Kentucky. Qualified in 2003, 23 years ago. Practices with PT Pros, Inc, a 259-clinician group. Licensed in Kentucky.

Years since qualifying
23
Licensed in
KY
In the registry since
2005
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

301 Sunset Dr
Caneyville, KY 42721-9172
Phone: (270) 879-3711
Fax: (270) 879-8674
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3004076 (KY)

Record details

NPI number1104822360
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESNovember 14, 2018
Mailing address908 Wallace Ave, Leitchfield, KY 42754-1479

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Pt Pros, Inc — 259 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare